Risk of Helicobacter pylori transmission by upper gastrointestinal endoscopy.

BACKGROUND: Upper gastrointestinal endoscopy has been reported as a risk factor for the transmission of Helicobacter pylori. The aim of this study was to evaluate the possibility of transmission of H. pylori infection by upper gastrointestinal endoscopy in patients who had previously had such proced...

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Publicado en:American Journal of Infection Control Vol. 26; no. 1; pp. 12 - 16
Autores principales: da Silveira MR, Castro R, Morais M, Brant CQ, Filho AC, Ferrari AP Jr.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. 1998 Feb
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Infection Control
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      dt: 1998 Feb
      vid: 26
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      pub: Elsevier B.V.
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        atl: Risk of Helicobacter pylori transmission by upper gastrointestinal endoscopy.
      aug:
        au:
          da Silveira MR
          Castro R
          Morais M
          Brant CQ
          Filho AC
          Ferrari AP Jr.
      sug:
        subj:
          Helicobacter Infections Transmission
          Endoscopy, Gastrointestinal Adverse Effects
          Equipment Contamination
          Epidemiological Research
          Prospective Studies
          Questionnaires
          Microbial Culture and Sensitivity Tests
          Pearson's Correlation Coefficient
          T-Tests
          P-Value
          Multivariate Analysis of Variance
          Descriptive Statistics
          Brazil
          Prevalence
          Dyspepsia
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Inpatients
          Male
          Female
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: BACKGROUND: Upper gastrointestinal endoscopy has been reported as a risk factor for the transmission of Helicobacter pylori. The aim of this study was to evaluate the possibility of transmission of H. pylori infection by upper gastrointestinal endoscopy in patients who had previously had such procedures in a low disinfection level environment. METHODS: The study included 1082 patients. Patients that had undergone upper gastrointestinal endoscopy or were treated with antibiotics 15 days before the index endoscopy were excluded. H. pylori infection was diagnosed by ultra-rapid urease test. Variables analyzed were age, gender, type of dyspepsia (organic or functional), and the number of previous upper gastrointestinal endoscopies. RESULTS: Overall prevalence of H. pylori infection was 60%. Patients ranged in age from 13 to 94 years (mean = 45.8, SD = 15.7) and the number of previous upper gastrointestinal endoscopies ranged from 0 to 20 (mean = 1.5, SD = 2.4). In 53.3% of the patients, upper gastrointestinal endoscopy revealed some mucosal lesion (organic dyspepsia). Prevalence of H. pylori infection was higher in patients with organic rather than functional dyspepsia (71.1% vs. 47.1%, p < 0.001). There was no statistically significant difference in the mean number of upper gastrointestinal endoscopies in patients with and without H. pylori infection. CONCLUSIONS: We concluded that there was no association between history of upper gastrointestinal endoscopy and current H. pylori infection in this study population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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