[2010-2020 年间智利圣地亚哥上消化道内窥镜检查转诊患者幽门螺杆菌感染率下降]。

Q4 Medicine
Felipe Silva, Gonzalo Latorre, Patricio Medel, Miguel Bustamante, Isabella Montero, Camila Robles, Eitan Dukes, Francisca Martinez, María Victoria Binder, Javier Uribe, Diego Reyes, Marcela Bittner, Marisol Sirhan, Manuel Espinoza, Eduardo Fuentes-López, Roberto Candia, Carlos Agüero, José Ignacio Vargas, Alberto Espino, Arnoldo Riquelme
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引用次数: 0

摘要

拉丁美洲的幽门螺杆菌(Hp)感染率很高。1996-2003 年间,智利圣地亚哥的感染率为 70%;最近的研究表明,这一感染率有所下降。鉴于幽门螺杆菌对健康的影响,更新幽门螺杆菌感染率至关重要:我们的目的是描述在智利人群中接受非卧床食管胃十二指肠镜检查(EGD)的患者感染 Hp 的趋势:对 2010-2020 年间首次接受胃肠镜检查并进行快速尿素酶检测的 18 岁以上患者进行了回顾性观察研究。通过时间序列分析描述了时间趋势。在对年龄和性别进行调整后,建立了泊松模型来估计感染风险:共纳入 11 355 名患者[66.9% 为女性;平均年龄 52 岁;Hp 41.6%]。男性感染 Hp 的频率更高[RR 1.13;(95% CI:1.08-1.18)]。Hp 感染率从 2010 年的 45.1%大幅下降到 2020 年的 29%,2020 年感染 Hp 的概率比 2010 年低 36%[RR 0.64;(95% CI:0.55-0.74)]。预计人类乳头瘤病毒感染率将逐步下降,到 2025 年将接近 25%:结论:2010 年至 2020 年间,甲型肝炎感染率大幅下降。结论:2010 年至 2020 年期间,人类乳头瘤病毒感染率大幅下降,这可能是由于过去十年中实施了与社会卫生变革相关的公共卫生政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Reduction in Helicobacter pylori infection among patients referred for upper gastrointestinal endoscopy in Santiago, Chile, between 2010-2020].

Latin America presents a high prevalence of Helicobacter pylori(Hp) infection. Between1996-2003, the prevalence in Santiago, Chile, was 70%; recent studies indicate a decreasein this infection. Updating the frequency of Hp is crucial due to its associated health impact.

Objective: Our objective was to describe the trend in Hp infection in patients undergoingambulatory esophagogastroduodenoscopy (EGD) in a Chilean population.

Materials and methods: A retrospective observational study was conducted on patients over 18 years old who attended a first EGD with a rapid urease test between 2010-2020. Time trendswere described through time series analysis. A Poisson model was constructed to estimatethe risk of infection, adjusted for age and gender.

Results: 11,355 patients were included[66.9% females; mean age 52 years; Hp 41.6%]. Male gender presented a higher frequencyof Hp infection [RR 1.13; (95% CI: 1.08-1.18)].Hp frequency infection decreased significantlyfrom 45.1% in 2010 to 29% in 2020, with a 36% lower probability of Hp infection in 2020 compared to 2010 [RR 0.64;(95% CI: 0.55-0.74)]. A progressive decline in Hp infectiontrend was projected, reaching values close to 25% by year 2025.

Conclusion: A significantreduction in Hpinfection was observed between 2010-2020. This decrease could be explained by the implementation of public health policies in the last decade associated with socio-sanitary changes.

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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
49
期刊介绍: La REVISTA DE GASTROENTEROLOGíA DEL PERÚ, es la publicación oficial de la Sociedad de Gastroenterología del Perú que publica artículos originales, artículos de revisión, reporte de casos, cartas e información general de la especialidad; dirigido a los profesionales de la salud con especial interés en la gastroenterología. La Revista de Gastroenterología del Perú es una publicación de periodicidad trimestral y tiene como objetivo la publicación de artículos científicos inéditos en el campo de la gastroenterología, proporcionando información actualizada y relevante de la especialidad y áreas afines. La Revista de Gastroenterología del Perú publica artículos en dos idiomas, español e inglés, a texto completo en la versión impresa yelectrónica. Los artículos científicos son sometidos a revisores o árbitros nacionales e internacionales, especialistas que opinan bajo la modalidad de doble ciego y de manera anónima sobre la calidad y validez de los mismos. El número de revisores depende del tipo de artículo, dos revisores como mínimo para artículos originales y uno como mínimo para otros tipos de artículos.
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