Prevalence of Helicobacter pylori infection among new outpatients with dyspepsia in Kuwait.

Background: Testing and treatment for Helicobacter pylori has become widely accepted as the approach of choice for patients with chronic dyspepsia but no alarming features. We evaluated H. pylori status among outpatients with uninvestigated dyspepsia in Kuwait.Methods: A prospectively collected data...

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Publicado en:BMC Gastroenterology Vol. 10; pp. 14 - 15
Autores principales: Alazmi WM, Siddique I, Alateeqi N, Al-Nakib B, Alazmi, Waleed M, Siddique, Iqbal, Alateeqi, Nabeel, Al-Nakib, Basil
Formato: research Journal Article
Publicado: BioMed Central 2010
Acceso en línea:Ver este registro en EBSCOhost
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        10.1186/1471-230X-10-14
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        atl: Prevalence of Helicobacter pylori infection among new outpatients with dyspepsia in Kuwait.
      aug:
        au:
          Alazmi WM
          Siddique I
          Alateeqi N
          Al-Nakib B
          Alazmi, Waleed M
          Siddique, Iqbal
          Alateeqi, Nabeel
          Al-Nakib, Basil
        affil: Thunayan Alghanim Center of Gastroenterology, Amiri Hospital, Kuwait city, Kuwait
      sug:
        subj:
          Dyspepsia Epidemiology
          Helicobacter Infections Epidemiology
          Helicobacter Pylori
          Outpatients Statistics and Numerical Data
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Child
          Comorbidity
          Female
          Human
          Kuwait
          Male
          Middle Age
          Prevalence
          Prospective Studies
          Retrospective Design
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Child: 6-12 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Testing and treatment for Helicobacter pylori has become widely accepted as the approach of choice for patients with chronic dyspepsia but no alarming features. We evaluated H. pylori status among outpatients with uninvestigated dyspepsia in Kuwait.Methods: A prospectively collected database for 1035 patients who had undergone 13C-urea breath tests (UBT) for various indications was reviewed for the period from October 2007 to July 2009. The status of H. pylori in dyspeptic patients was determined by UBT.Results: Among the 362 patients who had undergone UBT for uninvestigated dyspepsia, 49.7% were positive for H. pylori (95% CI = 44%-55%) and the percentage increased with age (35.8% at 20-29 years, 95% CI = 25.4% - 47.2%; 59.3% at 30-39 years, 95% CI = 48.5% - 69.5%) (P = 0.013). The prevalence of H. pylori was 42.6% among Kuwaitis (95% CI = 35%-50%) and 57.6% (95% CI = 49.8%-65%) among expatriates (p = 0.004). The prevalence among males was 51.3%, while in females it was 48.6%.Conclusions: Almost half of the patients with dyspeptic symptoms in Kuwait were positive for H. pylori, though the prevalence varied with age and was higher among expatriates. The American Gastroenterology Association guidelines recommending testing and treatment for H. pylori for patients with uninvestigated dyspepsia should be endorsed in Kuwait.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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