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Increased prevalence of Helicobacter pylori antibodies among nurses.
Arch Intern Med. 1993 Mar 22; 153(6):708-12.AI

Abstract

BACKGROUND

Numerous studies have suggested that Helicobacter pylori infection in asymptomatic subjects is transmitted from person to person. Its prevalence is higher in the institutionalized setting. If that is the case, persons involved in patient care should have a higher prevalence of the infection.

METHODS

We estimated the prevalence of H pylori antibodies among groups of asymptomatic medical and nursing staff and compared them with volunteer blood donors of similar age and sex.

RESULTS

One hundred fifty-eight nurses and aides, 59 residents, 46 senior medical students, and 22 senior nursing students were enrolled in this study. Serum samples were tested for IgG antibodies against H pylori by enzyme-linked immunosorbent assay. Sixty-two (39%) of 158 nurses were found to be positive for antibodies to H pylori compared with 114 (26%) of 441 specimens from the blood donor group. Within the youngest age group (20 to 34 years), 13 (25%) of 51 nurses were positive for H pylori antibodies compared with 19 (13%) of 143 age-matched serum samples from the blood donor group. Within the middle age group (35 to 49 years), 32 (39%) of 83 nurses were positive for H pylori antibodies vs 43 (26%) of 167 age-matched blood donors. In the oldest age group (> 50 years), 17 (71%) of 24 nurses were positive for H pylori antibodies compared with 52 (40%) of 131 age-matched blood donors. Twenty-three (27%) of 86 nurses with 1 to 15 years of occupational exposure were positive for H pylori antibodies compared with 40 (56%) of 72 nurses with more than 15 years of occupational exposure.

CONCLUSIONS

Nurses have an increased prevalence of H pylori antibodies that is significantly higher than the comparable prevalence of volunteer blood donors and is evident in the youngest age group. In addition, the increased prevalence is related to a longer duration of patient exposure in the nursing group.

Authors+Show Affiliations

Department of Internal Medicine (Gastroenterology), James H. Quillen College of Medicine, East Tennessee State University.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8447708

Citation

Wilhoite, S L., et al. "Increased Prevalence of Helicobacter Pylori Antibodies Among Nurses." Archives of Internal Medicine, vol. 153, no. 6, 1993, pp. 708-12.
Wilhoite SL, Ferguson DA, Soike DR, et al. Increased prevalence of Helicobacter pylori antibodies among nurses. Arch Intern Med. 1993;153(6):708-12.
Wilhoite, S. L., Ferguson, D. A., Soike, D. R., Kalbfleisch, J. H., & Thomas, E. (1993). Increased prevalence of Helicobacter pylori antibodies among nurses. Archives of Internal Medicine, 153(6), 708-12.
Wilhoite SL, et al. Increased Prevalence of Helicobacter Pylori Antibodies Among Nurses. Arch Intern Med. 1993 Mar 22;153(6):708-12. PubMed PMID: 8447708.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increased prevalence of Helicobacter pylori antibodies among nurses. AU - Wilhoite,S L, AU - Ferguson,D A,Jr AU - Soike,D R, AU - Kalbfleisch,J H, AU - Thomas,E, PY - 1993/3/22/pubmed PY - 2001/3/28/medline PY - 1993/3/22/entrez SP - 708 EP - 12 JF - Archives of internal medicine JO - Arch Intern Med VL - 153 IS - 6 N2 - BACKGROUND: Numerous studies have suggested that Helicobacter pylori infection in asymptomatic subjects is transmitted from person to person. Its prevalence is higher in the institutionalized setting. If that is the case, persons involved in patient care should have a higher prevalence of the infection. METHODS: We estimated the prevalence of H pylori antibodies among groups of asymptomatic medical and nursing staff and compared them with volunteer blood donors of similar age and sex. RESULTS: One hundred fifty-eight nurses and aides, 59 residents, 46 senior medical students, and 22 senior nursing students were enrolled in this study. Serum samples were tested for IgG antibodies against H pylori by enzyme-linked immunosorbent assay. Sixty-two (39%) of 158 nurses were found to be positive for antibodies to H pylori compared with 114 (26%) of 441 specimens from the blood donor group. Within the youngest age group (20 to 34 years), 13 (25%) of 51 nurses were positive for H pylori antibodies compared with 19 (13%) of 143 age-matched serum samples from the blood donor group. Within the middle age group (35 to 49 years), 32 (39%) of 83 nurses were positive for H pylori antibodies vs 43 (26%) of 167 age-matched blood donors. In the oldest age group (> 50 years), 17 (71%) of 24 nurses were positive for H pylori antibodies compared with 52 (40%) of 131 age-matched blood donors. Twenty-three (27%) of 86 nurses with 1 to 15 years of occupational exposure were positive for H pylori antibodies compared with 40 (56%) of 72 nurses with more than 15 years of occupational exposure. CONCLUSIONS: Nurses have an increased prevalence of H pylori antibodies that is significantly higher than the comparable prevalence of volunteer blood donors and is evident in the youngest age group. In addition, the increased prevalence is related to a longer duration of patient exposure in the nursing group. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/8447708/Increased_prevalence_of_Helicobacter_pylori_antibodies_among_nurses_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/153/pg/708 DB - PRIME DP - Unbound Medicine ER -