Seroprevalence of Helicobacter pylori IgG Antibodies and Associated Risk Factors among Asymptomatic Vegetable Sellers in Uyo, South Nigeria

Geraldine Micah Nworie, Anthony Nathaniel Umo, E. Edem, I. A. Adeagbo, O. Akinjogunla, G. E. Uzono, N. Jimmy, Adejumobi Olawale Abiodun, Rachel Sylvester Okon, Ene Omenyi Bawonda
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Abstract

Background: Vegetables are essential part of people’s diet and are sometimes consumed raw and often without heat treatment or thorough washing, hence some studies suggested it serves as vehicle for the transmission of pathogenic microorganisms like Helicobacter pylori. The source of contamination has also been traced to sellers of vegetables who are involved in unhygienic practices which contribute to the dissemination of pathogenic microorganisms. Therefore the aim of this study was to provide information on the seroprevalence of H. pylori IgG antibodies and associated risk factors among asymptomatic vegetable sellers in Uyo, Akwa Ibom State, Nigeria. Materials and Methods: Blood and stool samples from 142 participants were included in the study. Blood samples were analyzed using the rapid diagnostic method while the stool samples were analyzed using Enzyme linked immunosorbent Assays (ELISA). Results: A total of 85 (59.9%) were positive by rapid diagnostic test (RDT) while 53 (37.3%) were positive by stool ELISA test. Risk factors like age, marital status, residency family size, years in vegetable business, source of vegetable, wash before stalling etc were all statistically associated with (p<0.05) with H. pylori prevalence. Conclusion: This study revealed that unhygienic behaviors by vegetable sellers are associated with high risk of H. pylori infection to vegetable consumers. 
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尼日利亚南部乌约无症状蔬菜销售商中幽门螺杆菌 IgG 抗体血清阳性率及相关风险因素
背景:蔬菜是人们饮食的重要组成部分,有时未经加热处理或彻底清洗就生吃,因此一些研究表明,蔬菜是幽门螺旋杆菌等病原微生物的传播媒介。污染源也可追溯到蔬菜销售商,他们的不卫生做法助长了病原微生物的传播。因此,本研究旨在提供尼日利亚阿夸伊博姆州乌约市无症状蔬菜销售者幽门螺杆菌 IgG 抗体血清阳性率及相关风险因素的信息:研究纳入了 142 名参与者的血液和粪便样本。血液样本采用快速诊断方法进行分析,粪便样本则采用酶联免疫吸附试验(ELISA)进行分析:结果:共有 85 人(59.9%)通过快速诊断测试(RDT)呈阳性,53 人(37.3%)通过粪便 ELISA 测试呈阳性。年龄、婚姻状况、居住地、家庭人口、从事蔬菜生意的年限、蔬菜来源、滞销前清洗等风险因素均与幽门螺杆菌感染率有统计学关系(P<0.05):这项研究表明,蔬菜销售商的不卫生行为与蔬菜消费者感染幽门螺杆菌的高风险有关。
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