Background The global prevalence of H. pylori approaches 50%, with prevalence rates between 20 and 40% in developed countries and up to 90% in Africa and other developing nations of the world. Development of H. pylori -associated diseases is determined by a number of virulence factors. This study aimed at determining the prevalence of H. pylori infections and virulence genes ( cag A , dup A , and vac A); the relationship between virulence factors and gastroduodenal diseases among patients. Methods Gastric biopsies were obtained from patients and cultured, DNA was extracted from cultured isolates and biopsies for PCR assay after which samples were investigated using standard laboratory procedures. Data of associated risk factors were obtained with the aid of questionnaires. Results Of the 444 participants, H. pylori was detected in 115 (25.9%) from culture analysis and 217 (48.9%) by direct PCR method. Ninety-eight (85.2%) of the culture-positive patients were also detected by PCR giving an overall prevalence of 52.7% (234/444). The highest number of H. pylori isolates 76.9% (180/234) was obtained from patients suffering from pangastritis. The Cag A virulence gene was found in 62% (145/234), dup A in 53.4% (125/234) and vac A in 90.6% (212/234). Vac A genotype s1 m1 was the most prevalent [56.4% (132)] followed by s2 m2 [11.5% (27)], s2 m1 [10.3% (24)] and [s1 m2 9.4% (22)]. There was a significant association observed in vac A s1 and peptic ulcer disease, as well as vac A s1/m2 and gastric erosion ( P < 0.05). Conclusion The study revealed a significant association between virulence genes and the development of certain forms of gastric infections while the variations in H. pylori detection and the associated risk factors investigated in the study were not significantly related. Electronic supplementary material The online version of this article (10.1186/s12876-019-0986-0) contains supplementary material, which is available to authorized users.

Helicobacter pylori is a gram-negative, spiral-shaped bacterial pathogen and the causative agent for gastritis, peptic ulcer disease and classified as a WHO class I carcinogen. While the prevalence of H. pylori infections in Africa is among the highest in the world, the incidence of gastric cancer is comparably low. Little is known about other symptoms related to the H. pylori infection in Africa and the association with certain phenotypes of bacterial virulence. We established a network of study sites in Nigeria (NG) and South Africa (ZA) to gain an overview on the epidemiological situation. In total 220 isolates from 114 patients were analyzed and 118 different patient isolates examined for the presence of the virulence factors cagA, vacA, dupA , their phylogenetic origin and their resistance against the commonly used antibiotics amoxicillin, clarithromycin, metronidazole and tetracycline. We report that H. pylori isolates from Nigeria and South Africa differ significantly in their phylogenetic profiles and in their expression of virulence factors. VacA mosaicism is intensive, resulting in m1-m2 vacA chimeras and frequent s1m1 and s1m2 vacA subtypes in hpAfrica2 strains. Gastric lesions were diagnosed more frequent in Nigerian versus South African patients and H. pylori isolates that are resistant against one or multiple antibiotics occur frequently in both countries.

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Growth response, nutrient and mineral retention, bone mineral content and walking ability of broiler chicken fed dietary inclusion of various unconventional calcium sources were studied using 160-day-old broilers. Four isonitrogenous, isocaloric diets balanced for Ca and P were formulated such that oyster shell, snail shell, wood ash and limestone were used as main non-phytate (Ca from other sources apart from plant) calcium sources. Each dietary treatment consisted of 40 birds replicated four times with 10 birds per replicate. A single diet was fed to the broilers throughout the duration of the study which lasted for 8 weeks. Broilers fed diet containing oyster shell as calcium sources recorded the highest (p < 0.05) feed intake of 5863.30 g, while those fed diet containing limestone consumed the least intake (p < 0.05) of 5432.56 g. Occurrence of lameness and evidences of gaits were highest (p < 0.05) for broilers fed diet containing wood ash. Lowest (p < 0.05) Ca and ash retention were recorded for broiler fed diet containing wood ash as Ca sources. Similar tibia ash values were recorded for broilers fed oyster shell, snail shell and limestone. Wood ash inclusion resulted in a low Ca availability hence its inclusion in feeds for broilers should be discouraged.

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