Abstract

PREVALENCE AND RISK FACTORS (PHYSIOPATHOLOGY) OF HELICOBACTER PYLORI INFECTION AMONG PATIENTS ATTENDED TO HEALTH CENTERS IN MUDHAFFER DIRECTORATE-TAIZ-YEMEN

*Assistant Prof. Mansoor Alkhulaidi and Prof. Nada Saif

Abstract

Aim: This study was carried to determine the prevalence of H. pylori infection among patients attended to Health centers in Mudhaffer Directorate Taiz-Yemen, which is war area up to now. Also to determine the percentage value for H. pylori infection according to age groups and sex. To determine the risk factors contributing to the H. pylori transmission mainly chewing khat which is one of main bad habit in Yemen. With focusing on main clinical pictures by using one step H. pylori test device (Rapid test). Study design: Cross-sectional study. Place and duration of study: This study was carried out from war area in Yemen –Taiz-A-Mudhaffer district for about 70 cases, during September 2017 up to October 2017 (Two months). Methodology: A total of 70 cases were randomly collected examined by rapid test (One step Helicobacter pylori rapid test device). A questionnaire data was used for determined the correlation of infection to age, sex, risk factors, clinical pictures. Statistical analysis: Data analyzed by SPSS. Program. Result: The study found out of the 70 studied cases, 37 (52.8%~53% as in Figure 1 and table 2) were positive for H. Pylori Abs. Females were higher than Males with percentages of 42.8%~43% as in Figure 2 and table 1. The highest prevalence of H. pylori infection occurred in the age group 50-58 years with percentage value 27% which the prevalence was increased gradually with older age groups. The principal manifestations among positive cases for H. pylori infection were feeling of acidity with a percentage of 64.3 followed by dyspepsia, diarrhea, vomiting, abdominal pain, headache, fever, loss of appetite and then nausea with percentage values of 62.5%, 61.3%, 60.7%, 54%, 53.8%, 47.6%, 45.6% and 42.5% respectively, the chewing Khat cases were high affection with H. Pylori 71%.

Keywords: Al-Mudhaffer-Taiz-Yemen-Helicobacter pylori – Risk Factors (Physiopathology) - Chewing Khat-Rapid test device.