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Revista Cubana de Medicina Tropical
On-line version ISSN 1561-3054
Abstract
VALDES ALONSO, Lidunka J. et al. Infección por Helicobacter pylori en un grupo de pacientes VIH/SIDA. Rev Cubana Med Trop [online]. 2001, vol.53, n.3, pp. 199-203. ISSN 1561-3054.
The prevalence of H.pylori infection in AIDS patients has been controversial. A controlled prospective and descriptive study was conducted in a group of 64 HIV-infested patients. H.pylori detection was carried out by endoscopic study during which two biopsy samples of gastric antrum and body were taken for the histologic study and other 2 samples of gastric antrum and body for urease testing. H.pylori infection prevalence was 56.3%. The comparison group was composed by 110 serologically HIV-negative patients, with an infection prevalence rate of 77.2%. In the HIV-AIDS group, the frequency of gastric ulcer was 1,5% and no duodenal ulcer was found whereas the comparison group showed a frequency of gastric and duodenal ulcers of 1.8 and 15.5% respectively. HIV+/ÄIDS patients in category I exhibited an H.pylori infection prevalence of 68.7%, category II, 39.2% and category III, 21,0%. A reversed association was observed between the level of immune deterioration and the prevalence of H.pylori infection.
Keywords : HIV; ACQUIRED IMMUNODEFICIENCY SYNDROME; HELICOBACTER PYLORI; AIDS- RELATED OPPORTUNISTIC INFECTIONS; ENDOSCOPY; DUODENAL ULCER [etiology]; STOMACH ULCER [etiology]; HELICOBACTER INFECTIONS [diagnosis]; HELICOBACTER INFECTIONS [epidemiology].