埃塞俄比亚东南部临床主诉消化不良和过敏性疾病的政府雇员中幽门螺杆菌感染的负担和风险因素:一项多机构横断面研究。

IF 3.1 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Research and Reports in Tropical Medicine Pub Date : 2024-02-19 eCollection Date: 2024-01-01 DOI:10.2147/RRTM.S447203
Taye Kebede, Hagos Ashenafi
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引用次数: 0

摘要

背景:幽门螺杆菌(H. pylori)被认为是从东非传播过来的,但在埃塞俄比亚条件较差的地区,它的感染情况尚不清楚。消化不良是指胃部不适、上腹部不适、烧心和腹胀。本研究评估了埃塞俄比亚东南部五个公共卫生机构中临床主诉消化不良但患有过敏性疾病的政府雇员感染幽门螺杆菌的负担和风险因素:方法:2022 年 3 月至 11 月,在埃塞俄比亚东南部开展了一项基于卫生机构的横断面调查研究,采用的是集群抽样法。收集了血液标本、临床数据和有关风险因素的半结构化问卷。数据分析采用 Windows 16.1 版 STATA 软件的描述性、双变量和多变量逻辑回归进行:总感染率为 77.6%。抽样医疗机构(ρ值<0.05)、从事副业(ρ值<0.05)、共用当地勺子用餐[AOR = 39.30; CI:19.52 -78.31; ρ-value < 0.001]、吃饭时承认 "古尔邦节"[AOR = 71.48; CI:3.99 -1279.77; ρ-value < 0.05]、厕所类型[AOR = 1410.98; CI:121.16 -16 431.19; ρ-value < 0.001]、饮酒[AOR = 15.15; CI:1.90 -120.62; ρ值 < 0.05]、睡眠时间长短[AOR = 15.01; CI:13.48-55.96; ρ值 < 0.001]、咀嚼阿拉伯茶叶[AOR = 76.73; CI:8.57-687.07; ρ-value < 0.001]、饭前洗手[AOR = 0.15; CI:0.12-0.19; ρ-value < 0.05]是幽门螺杆菌感染的独立预测因素:埃塞俄比亚东南部幽门螺杆菌感染率之高令人痛心,超过世界平均水平 27.6%,这是首次报告,而且似乎是被忽视的传染病之一。因此,奥罗米亚地区卫生局应重振基本的传染病控制方法,建立常规实验室诊断平台,并对某些传播感染的社会行为进行干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Burden and Risk Factors of Helicobacter Pylori Infection Among Government Employees Who Clinically Complain of Indigestion but Allergic Diseases in Southeastern Ethiopia: A Multi-Institution Cross-Sectional Study.

Background: Helicobacter pylori (H. pylori) is believed to have spread from East Africa, but its burden is still unknown in less privileged regions of Ethiopia. Indigestion is an upset stomach, upper abdomen discomfort, heartburn, and bloating. This study evaluated the burden and risk factors for H. pylori infection among government employees who clinically complained of indigestion but allergic diseases in five public health institutions in Southeastern Ethiopia.

Methods: A health facilities-based cross-sectional survey study was conducted in Southeastern Ethiopia from March to November 2022, employing cluster sampling. Blood specimens, clinical data, and semi-structured questionnaires about risk factors were collected. Data analysis was conducted using descriptive, bivariate, and multivariable logistic regression in STATA software, Windows version 16.1.

Results: The overall prevalence of infection was found to be 77.6%. The sampled health institution (ρ-value < 0.05), engagement in sideline business (ρ-value < 0.05), sharing local spoon on meal [AOR = 39.30; CI:19.52 -78.31; ρ-value < 0.001], admitting "Gursha" during meal [AOR = 71.48; CI:3.99 -1279.77; ρ-value < 0.05], the toilet type [AOR = 1410.98; CI:121.16 -16,431.19; ρ-value < 0.001], alcohol drinking [AOR = 15.15; CI:1.90 -120.62; ρ-value < 0.05], sleeping hours length [AOR = 15.01; CI:13.48-55.96; ρ-value < 0.001], chewing Khat [AOR = 76.73; CI:8.57-687.07; ρ-value < 0.001], and regular hand washing before eating [AOR = 0.15; CI:0.12-0.19; ρ-value < 0.05] were the independent predictors of H. pylori infection.

Conclusion: The prevalence rate of H. pylori infection in Southeastern Ethiopia is agonizingly high, exceeding the world average by 27.6%, the first report, and seems to be one of the neglected infectious diseases. Hence, the Oromia Region Health Bureau should reinvigorate the basic infectious disease control methods, establish routine laboratory diagnostic platforms, and intervene in selected societal practices spreading infections.

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Research and Reports in Tropical Medicine
Research and Reports in Tropical Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
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