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The incidence of infection, diagnosis and treatment of H. pylori in developing countries on the example of Kenya

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Machaj Dominik, Jastrzębska Sandra, Cyboran Katarzyna, Płaczek Alicja, Flaumenhaft Wiktoria. The incidence of infection, diagnosis and treatment of H. pylori in developing countries on the example of Kenya. Journal of Education, Health and Sport. 2020;10(3):11-17. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.03.001 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.03.001 https://zenodo.org/record/3696977                 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.  The authors declare that there is no conflict of interests regarding the publication of this paper.    Received: 05.02.2020. Revised: 15.02.2020. Accepted: 04.03.2020.                           The incidence of infection, diagnosis and treatment of H. pylori in developing countries on the example of Kenya   Dominik Machaj, Sandra Jastrzębska, Katarzyna Cyboran, Alicja Płaczek, Wiktoria Flaumenhaft   Name Dominik Machaj  Affiliation Faculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 Lublin Country Poland Bio Statement — Principal contact for editorial correspondence.   Name Sandra Jastrzębska  Affiliation Faculty of Medicine, Medical University of Lublin, Chodźki Street 19, 20-093 Lublin Country Poland Bio Statement —       Name Katarzyna Cyboran  Affiliation Medical Faculty, Institute of Medical Sciences, Collegium Medicum, Oleska Street 48, 45-052 Opole Country Poland Bio Statement —   Name Alicja Płaczek  Affiliation Medical Faculty, University of Rzeszow, Pigonia Street 6, 35-310 Rzeszow Country Poland Bio Statement —   Name Wiktoria Flaumenhaft  Affiliation Medical Faculty, University of Rzeszow, Pigonia Street 6, 35-310 Rzeszow Country Poland Bio Statement —   Abstract Introduction: One of the most common causes of bacterial infections in the world is Helicobacter pylori. It has developed mechanisms that allow it to survive in the acidic pH of the stomach. The bacterium contributes to the incidence of gastric ulcer and duodenal ulcer. Infected is about 50% of the world population, while in Africa the proportion is as high as 80%. Despite this there are still number of African guidelines for infection prevention and eradication of the bacterium. Most infections concerns children, adolescents and the elderly. Data on the diagnosis and treatment of patients in Kenya are inconsistent. [1] Doctors are based on international recommendations. No general insurance and a low level of affluence prevent diagnosis of patients at the level of developed countries. Access to endoscopy, and cultures have only wealthy people in big cities.   Purpose: Examine the percentage of Helicobacter pylori infection among the people of Kenya, the analysis of the causes of its high value, comparing the diagnosis and treatment with European standards.   Material and methods Analysis of causes of hospitalization in 227 hospital patients in Kenya. The majority of them has made winning the test of H. pylori antigen in stool. Analysis of the results of research carried out in 2010Subdepartment Medical Microbiology, Jomo Kenyatta University of Agriculture and Technology in Nairobi, Kenya, where the diagnostic methods was rapid urease test and histological tests.   Conclusions The proportion of patients infected with H. pylori in Chuka is 51.9%. Cause of inflammation of the stomach in almost 1/3 of hospitalized patients may be awareness of hygiene and drinking water unsuitable for consumption. Standards of treatment of patients infected with H. pylori do not differ from European guidelines.   Key words: Helicobacter pylori, Treatment, Diagnosis, Kenya, gastritis