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波兰华沙接受治疗的消化不良患者目前的感染患病率。

Current prevalence of infection in patients with dyspepsia treated in Warsaw, Poland.

作者信息

Tacikowski Tadeusz, Bawa Sa'eed, Gajewska Danuta, Myszkowska-Ryciak Joanna, Bujko Jacek, Rydzewska Grażyna

机构信息

Clinic of Gastroenterology, Central Clinical Hospital of the Ministry of Internal Affairs, Warsaw, Poland.

Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences, Warsaw, Poland.

出版信息

Prz Gastroenterol. 2017;12(2):135-139. doi: 10.5114/pg.2017.68042. Epub 2017 May 30.

Abstract

INTRODUCTION

The prevalence of (Hp) infection in patients with dyspepsia has important clinical and epidemiological implications. However, the current prevalence of Hp infection among patients within Poland is unknown; the last data were collected a decade ago and the majority of previous studies showed the prevalence to be between 60% and 100%.

AIM

To establish the current prevalence of Hp infection among patients with dyspepsia in Warsaw, Poland.

MATERIAL AND METHODS

The study group comprised 148 patients (126 women and 22 men) with dyspepsia, treated in two outpatient clinics in Warsaw. The mean age in the group that tested positive for Hp was 45.8 years (SD = 14.86; median = 51; min = 19; max = 64). They were tested for Hp infection with a urea breath test that uses 13C-enriched urea and isotope ratio mass spectrometry.

RESULTS

infection was found in 53 patients (44 women and 9 men), i.e. in 35.8% of the whole study group. We did not find any significant relationship between Hp infection and the patients' age, gender, or their body mass index.

CONCLUSIONS

The current prevalence of Hp infection among patients with dyspepsia treated in Warsaw is 35.8%. However, our data suggest almost a two-fold fall in the prevalence of Hp infection compared to the previous Polish studies.

摘要

引言

消化不良患者中幽门螺杆菌(Hp)感染率具有重要的临床和流行病学意义。然而,目前波兰患者中Hp感染的流行情况尚不清楚;上一次数据是在十年前收集的,之前的大多数研究显示感染率在60%至100%之间。

目的

确定波兰华沙消化不良患者中Hp感染的当前流行率。

材料与方法

研究组包括148例在华沙两家门诊接受治疗的消化不良患者(126名女性和22名男性)。Hp检测呈阳性的组中平均年龄为45.8岁(标准差=14.86;中位数=51;最小值=19;最大值=64)。采用使用富含13C尿素和同位素比率质谱法的尿素呼气试验对他们进行Hp感染检测。

结果

在53例患者(44名女性和9名男性)中发现感染,即占整个研究组的35.8%。我们未发现Hp感染与患者年龄、性别或体重指数之间存在任何显著关系。

结论

在华沙接受治疗的消化不良患者中,Hp感染的当前流行率为35.8%。然而,我们的数据表明,与之前波兰的研究相比,Hp感染率几乎下降了一半。

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