Prevalence of <i>Helicobacter pylori</i> infection in newly arrived refugees attending the Migrant Health Service, South Australia

Rahim, Nur Razlyn Abdul; Benson, Jill; Grocke, Kathryn; Vather, Deeva; Zimmerman, Jessica; Moody, Tessa; Mwanri, Lillian

doi:10.1111/hel.12360

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…During another study, 52% of patients were H. pylori positive which was compatible with the current investigation ( 3 ). In an Australian survey, prevalence rate was 21.5% which was less than present results ( 15 ). The cause of these varieties may be due to different socioeconomic levels between communities.…”

Section: Discussioncontrasting

confidence: 86%

“…The cause of these varieties may be due to different socioeconomic levels between communities. In the present study, there was no sex predominance in prevalence of H. pylori infection, whilst Yucel et al ( 16 ) indicated a higher prevalence rate among females but Abdul Rahim et al reported male predominance ( 15 ). Our results indicated no association between sex and positivity of serum and salivary IgG against H. pylori.…”

Section: Discussioncontrasting

confidence: 58%

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Comparison of the serum and salivary antibodies to detect gastric Helicobacter pylori infection in Kashan (Iran)

et al. 2017

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Background and aimHelicobacter pylori (H. pylori) is an important and common contagious human pathogen which may cause peptic ulcer and also gastric cancer. The definite diagnosis of it is made through invasive tests. Recently, non-invasive tests including serologic tests of serum and saliva have been conducted for diagnosis of H. pylori infection. In this research, the diagnostic values of serum and salivary serology were compared together to use salivary anti-H. pylori test as an alternative method in the future.MethodsDuring this prospective case-control study on patients who were candidates for endoscopy and gastric biopsy from March 2015 to April 2016 in Shahid Beheshti hospital, Kashan, Iran, serum and salivary samples were obtained for measurement of Immunoglobulin G (IgG) antibody levels against H. pylori by enzyme-linked immunosorbent assay (ELISA). Histopathology was the gold standard test. Statistical analysis was performed by SPSS software version 16. Statistical tests included Kolmogorov-Smirnov, independent-samples t-test, Chi-square, Mann-Whitney U, Kruskal-Wallis, McNemar and correlation.ResultsOf 123 patients, sixty-one patients (49.6%) were H. pylori-positive according to histology. The median levels of anti-H. pylori antibodies in serum (p<0.001) and saliva (p<0.001) of H. pylori-positive cases were significantly higher than H. pylori-negative cases. Sensitivity, specificity, positive likelihood ratio, negative likelihood ratio and accuracy of serologic tests in serum were 75%, 79%, 3.5, 0.3, 77% and for saliva were 85%, 82%, 4.7, 0.18, 84% respectively.ConclusionDiagnostic values of salivary ELISA are comparable to serum ELISA and can be used as an alternative modality for diagnosis of H. pylori infection.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussioncontrasting

confidence: 58%

Comparison of the serum and salivary antibodies to detect gastric Helicobacter pylori infection in Kashan (Iran)

et al. 2017

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“…Conversely, the prevalence of H. pylori infection remains high in newly arrived refugees attending the migrant health service in South Australia, where 922 adults and children were screened in a cross‐sectional study using the monoclonal HpSA. H. pylori infection was detected in 198 (21.5%) patients . A Chinese school‐based cross‐sectional study in Shanghai was conducted in 1,988 students using UBT.…”

Section: Epidemiologymentioning

confidence: 99%

“…H. pylori infection was detected in 198 (21.5%) patients. 6 A Chinese school-based crosssectional study in Shanghai was conducted in 1,988 students using UBT. Overall positive UBT was found in 36.3% (721/1,988).…”

Section: Epidemiologymentioning

confidence: 99%

Helicobacter pylori infection in children

2017

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Helicobacter pylori infection in children differs from that in adults, from the point of view of epidemiology, host response, clinical features, related diseases, and diagnosis, as well as treatment strategies. The prevalence of H. pylori infection, in both children and adults, is decreasing in the Western World as well as in some developing countries, which contrasts with the increase in childhood asthma and allergic diseases. Recurrent abdominal pain is not specific during H. pylori infection in children. The role of H. pylori infection and failure to thrive, children's growth, type I diabetes mellitus (T1DM) and celiac disease remains controversial. The main initial diagnosis is based on upper digestive endoscopy with biopsy-based methods. Nodular gastritis may be a pathognomonic endoscopic finding of childhood H. pylori infection. The infection eradication control is based on validated noninvasive tests. The main cause of treatment failure of H. pylori infection is its clarithromycin resistance. We recommend standard antibiotic susceptibility testing of H. pylori in pediatric patients prior to the initiation of eradication therapy. H. pylori treatment in children should be based on an evaluation of the rate of eradication in the local population, a systematic use of a treatment adapted to the susceptibility profile and a treatment compliance greater than 90%. The last meta-analysis in children did not show an advantage for sequential therapy when compared to a 14-day triple therapy. Finally, the high rate of antibiotic resistance responsible for therapy failure in recent years justifies the necessity of a novel vaccine to prevent H. pylori infection in children.

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“…Upper abdominal discomfort secondary to a bacterial stomach infection with Helicobacter pylori. H pylori infection is common among newly arrived refugees (Abdul Rahim et al, 2017).…”

Section: Case Studymentioning

confidence: 99%

Unaccompanied asylum-seeking children and young people – Understanding their journeys towards improved physical and emotional health

Portnoy

Ward

2020

Clin Child Psychol Psychiatry

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In 2018, approximately 20,000 unaccompanied children and young people applied for asylum in a European Union country. Unaccompanied asylum-seeking children present with significant emotional and physical health needs. These needs are likely the result of the situation that led them to leave their home, the difficult journeys they make to reach safety and their living circumstances after arriving at their destination. Maintaining engagement with both screening and therapeutic health services is challenging. A stepwise approach to delivery of services is recommended so as not to overwhelm them. Case studies and personal practical experience are used to highlight key learning points.

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Prevalence of Helicobacter pylori infection in newly arrived refugees attending the Migrant Health Service, South Australia

Abstract: H. pylori infection is common among newly arrived refugees. The long latency of infection to development of complications and the availability of testing and relatively effective eradication regimens all add weight to a decision to screen in this population.

Cited by 14 publications

References 23 publications

Comparison of the serum and salivary antibodies to detect gastric Helicobacter pylori infection in Kashan (Iran)

Comparison of the serum and salivary antibodies to detect gastric Helicobacter pylori infection in Kashan (Iran)

Helicobacter pylori infection in children

Unaccompanied asylum-seeking children and young people – Understanding their journeys towards improved physical and emotional health

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