回顾与螺旋杆菌病相关的疾病

D. Almashhadany, H. I. Mohammed, Abdulmunem Dherar Abdullah Aljoborey
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摘要

流行病学证据表明,幽门螺杆菌定植于上消化道(GIT),是全球最常见的人类细菌病原体之一,2015年感染人数达44亿,但感染率因情况和卫生原则而异。自首次分离以来,人们发现这种生物可能是人类最常见的细菌病原体之一,也是腺癌的危险因素之一。 因此,世界卫生组织(WHO)于 1994 年将其列为 1 类致癌物。新的幽门螺杆菌感染被认为是人与人之间通过口-口或粪-口途径或两者直接传播的结果。幽门螺杆菌可在粪便、唾液、呕吐物和胃液反流物(主要是渗入食道的胃酸反流物)中检测到。在临床上,人类感染幽门螺杆菌与慢性胃炎、消化性溃疡、十二指肠溃疡和胃癌有关,此外还与粘膜相关的淋巴恶性肿瘤有关。随着最新调查和信息的获得,这些估计可能会有所变化。幽门螺杆菌的流行情况很复杂,受多种因素影响,包括年龄、临床结果、地理位置和社会经济状况。据报道,不卫生和经济贫困地区的发病率较高;非洲、南美洲和亚洲的幽门螺杆菌感染率明显高于西欧、北美和澳大利亚。然而,幽门螺杆菌感染的疾病谱显示出广泛的临床表现,包括胃肠道疾病和胃外表现。在这篇综述中,我们描述了这些疾病的一般范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Review on Helicobacteriosis Associated Diseases
Helicobacteriosis is a bacterial infection caused by Helicobacter pylori (H.pylori)(HP). which was discovered in 1982 by Australian scientists Barry Marshall and Robin Warren, who were later awarded the Nobel Prize in 2005.Epidemiological evidence has shown that H.pylori colonizes the upper gastrointestinal tract(GIT), and the infection is one of the most common human bacterial pathogens worldwide, with 4.4 billion infected individuals in 2015, but the prevalence varies according to situation and hygiene principles. Since this first isolation, it has become apparent that this organism may be one of the most common bacterial pathogens of humans, and it is one of the risk factors for adenocarcinoma.  Thus, it was categorized as a group 1 carcinogen in 1994 by the World Health Organization (WHO). New infections with H.pylori are thought to occur as a consequence of direct human-to-human transmission, via either an oral-oral or fecal-oral route or both. H.pylori has been detected in stool, saliva, vomitus, and gastric refluxate, the material that has been subject to reflux, principally stomach acid that has leaked up into the esophagus. Clinically, H. pylori infection in humans is related to chronic gastritis, peptic ulceration, duodenal ulcer, and gastric cancer in addition to mucosa-associated lymphoid malignancies.According to the World Health Organization (WHO) estimates available at that time, it was supposed that about 4.4 billion infected individuals in 2015 were infected with H. pylori. These estimations can vary and are subject to change over time as recent investigations and information become obtainable. The prevalence of H. pylori is complex and affected by several factors, comprising age, clinical outcomes, geographical location, and socioeconomic status. A higher incidence was reported in unhygienic and economically poor areas; the rate of H. pylori infection in Africa, South America, and Asia was significantly higher than that in Western Europe, North America, and Australia. However, the disease spectrum of H. pylori infection shows a wide range of clinical aspects, including gastrointestinal diseases and extra gastric manifestations. In this review, we have described the general scope of these diseases.
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