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Minerva Gastroenterologica e Dietologica 2019 March;65(1):36-41

DOI: 10.23736/S1121-421X.18.02528-X


language: English

Prevalence of Helicobacter pylori infection among dyspeptic patients with and without type 2 diabetes mellitus in Nigeria

Stella I. SMITH 1 , Tolulope JOLAIYA 2, Charles ONYEKWERE 3, Muinah FOWORA 1, Rose UGIAGBE 4, Ifeanyi AGBO 4, Cara COOKEY 3, Olufunmilayo LESI 5, Dennis NDUBUBA 6, Olusegun ADEKANLE 6, Pia PALAMIDES 7, Isaac ADELEYE 2, Henry NJOM 8, Ayodeji IDOWU 8, Anna CLARKE 8, Rinaldo PELLICANO 9

1 Department of Molecular Biology and Biotechnology, Nigerian Institute of Medical Research, Yaba, Nigeria; 2 University of Lagos, Akoka, Nigeria; 3 Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria; 4 Department of Medicine, University of Benin Teaching Hospital, Benin, Nigeria; 5 Department of Medicine, Lagos University Teaching Hospital, Idi-Araba, Nigeria; 6 Department of Medicine, Obafemi Awolowo University Teaching Hospitals, Ile-Ife, Nigeria; 7 Max von Pettenkofer Institute, Munich, Germany; 8 Department of Biochemistry and Microbiology, University of Fort Hare, Alice, South Africa; 9 Unit of Gastroenterology, Molinette Hospital, Turin, Italy

BACKGROUND: This multicenter study was undertaken to determine the prevalence of Helicobacter pylori (H. pylori) infection among dyspeptic patients with and without type 2 diabetes mellitus (T2DM).
METHODS: Patients with dyspepsia were recruited from tertiary teaching hospitals, three in the South-West and one in the South-South regions of Nigeria, between November 2016 and August 2017. The participants had breath samples analyzed for H. pylori by the Urea Breath Test (UBT) following manufacturer’s instructions. Dyspeptic patients who were diagnosed previously with T2DM were recorded. Crosstab using chi-square and correlation analyses were used to test (hypothesis) variables.
RESULTS: The entire cohort included 471 dyspeptics, 19 (4%) of whom had T2DM. H. pylori infection was reported in 232/471 (49.3%) dyspeptics and 13/19 T2DM patients, without significant difference between diabetics and nondiabetics. The majority (84.6%) of those positive for UBT and T2DM were in the age group 52-71 years, while none was in the age group 72-91 years. There was no statistical significance (P>0.05) between the age group, UBT and T2DM positive.
CONCLUSIONS: Our study showed that, in Nigeria, there is no difference in prevalence of H. pylori in dyspeptic patients with and without T2DM.

KEY WORDS: Helicobacter pylori - Type 2 diabetes mellitus - Dyspepsia - Breath tests

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