Seroprevalence of Helicobacter pylori Infection in Korean Health Personnel

Gut Liver. 2013 Nov;7(6):648-54. doi: 10.5009/gnl.2013.7.6.648. Epub 2013 Aug 14.

Abstract

Background/aims: The aims of this study were to evaluate whether doctors and nurses in a single hospital were at an increased risk of acquiring Helicobacter pylori infection in 2011 and to identify risk factors for H. pylori seroprevalence.

Methods: Nurses (n=362), doctors (n=110), health personnel without patient contact (medical control, n=179), and nonhospital controls (n=359) responded to a questionnaire during a health check-up, which included questions on socioeconomic status, education level, working years, and occupation in 2011. The prevalence of H. pylori was measured by serology.

Results: The seroprevalence rate was 29.8% (nurses), 34.5% (doctors), 30.7% (medical control), and 52.9% (nonhospital control). Among younger subjects (<40 years of age), the nonhospital control had a higher seropositivity rate (48.1%) than nurses (29.2%), doctors (29.8%), and the medical control (24.8%), which was not observable in subjects ≥40 years of age. The risk factors for H. pylori seroprevalence were not different for health and nonhealth personnel. A multivariate analysis indicated that seropositivity significantly increased with age, the province of residence, and a gastroscopic finding of a peptic ulcer.

Conclusions: The medical occupation was not associated with H. pylori infection. The seroprevalence of H. pylori in one hospital in 2011 was found to be 38.7%, most likely due to the improvement in socioeconomic status and hospital hygiene policy in Korea.

Keywords: Health personnel; Helicobacter pylori; Prevalence; Serology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administrative Personnel
  • Adult
  • Age Factors
  • Antibodies, Bacterial / blood*
  • Cross-Sectional Studies
  • Female
  • Helicobacter Infections / blood
  • Helicobacter Infections / epidemiology*
  • Helicobacter pylori / immunology*
  • Humans
  • Male
  • Medical Staff, Hospital
  • Middle Aged
  • Nursing Staff, Hospital
  • Occupational Health*
  • Peptic Ulcer / epidemiology
  • Personnel, Hospital*
  • Pharmacists
  • Prevalence
  • Republic of Korea / epidemiology
  • Residence Characteristics
  • Risk Factors
  • Seroepidemiologic Studies
  • Time Factors
  • Young Adult

Substances

  • Antibodies, Bacterial