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德里无症状人群中抗幽门螺杆菌IgG/IgA的血清流行率。

Seroprevalence of anti Helicobacter pylori IgG/IgA in asymptomatic population from Delhi.

作者信息

Jais Manoj, Barua S

机构信息

*Associate Professor, Department of Microbiology, Lady Hardinge Medical College, New Delhi.

出版信息

J Commun Dis. 2004 Jun;36(2):132-5.

Abstract

Helicobacter pylori is recognised as the most important etiological agent for chronic antral gastritis in humans, the major predisposing factor in the pathogenesis of duodenal and gastric ulcers as well as probable cofactor in the development of gastric cancer. This study was undertaken to determine the seroprevalence of anti - H. pylori IgG/ IgA in asymptomatic population. Two hundred and fifty eight serum samples from various age groups (1-40 years) were collected from patients admitted to the wards for conditions other than gastrointestinal disorders and screened for anti H. pylori IgG/IgA antibodies. The prevalence of anti H. pylori IgG/IgA in the age group < 10 years, 10-19 years, 20-29 years, 30-39 years and anti 40 years were found to be 38.89%, 52.08%, 59.62%, 67.88% and 54.17% respectively. The prevalence of H. pylori increased markedly with age, being maximum in 30-39 year age group. Similar trend was observed in a study conducted in South India and Mumbai. Almost half the children acquire H. pylori infection early in life which increases slowly and steadily with a peak prevalence in the age group 30-39 years and then declines as the age advances. There was no significant difference in prevalence rate in males and females.

摘要

幽门螺杆菌被认为是人类慢性胃窦炎最重要的病原体,是十二指肠溃疡和胃溃疡发病机制中的主要诱发因素,也是胃癌发生的可能辅助因素。本研究旨在确定无症状人群中抗幽门螺杆菌IgG/IgA的血清流行率。从因非胃肠道疾病入院的患者中收集了258份来自不同年龄组(1至40岁)的血清样本,并检测抗幽门螺杆菌IgG/IgA抗体。结果发现,年龄小于10岁、10至19岁、20至29岁、30至39岁以及40岁及以上年龄组中抗幽门螺杆菌IgG/IgA的流行率分别为38.89%、52.08%、59.62%、67.88%和54.17%。幽门螺杆菌的流行率随年龄显著增加,在30至39岁年龄组中最高。在印度南部和孟买进行的一项研究中也观察到了类似趋势。几乎一半的儿童在生命早期感染幽门螺杆菌,感染率随年龄缓慢稳定上升,在30至39岁年龄组达到峰值,然后随着年龄增长而下降。男性和女性的流行率没有显著差异。

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