par Miendje Deyi, Yvette Véro
;Vanderpas, J;Bontems, Patrick
;Van den Borre, Chantal;De Koster, Erik
;Cadranel, Samy
;Burette, Alain
Référence Epidemiology and infection, 139, 4, page (572-580)
Publication Publié, 2011-04




Référence Epidemiology and infection, 139, 4, page (572-580)
Publication Publié, 2011-04
Article révisé par les pairs
Résumé : | The prevalence of Helicobacter pylori infection is decreasing in developed countries. In this study we included 22,612 patients in whom a first culture of gastric biopsy (routinely performed in our medical centres) yielded an interpretable result over a 20-year period (1988-2007) in Brussels. The effects of patients' age, gender and ethnic background were analysed. The overall proportion of H. pylori-infected patients was 37·7%, with a progressive decline over time (P<10(-5)). A gender effect was observed in adults. The lowest infection rate was observed in Western European patients (n=11,238) with respectively 36·2% and 15·2% infected subjects in 1988 and 2007, compared to 71·7% and 40% in North African patients (n=3200) (P<10(-5)). However, no trend of decline was observed over time in North African children aged ≤9 years. These data show the effects of time, age and ethnicity on the prevalence of H. pylori infection, and its complex heterogeneity in the same cosmopolitan urban area. |