Prevalence Of Helicobacter Pylori And Intestinal Parasite And Their Associated Risk Factors Among School Children At Selam Fire Elementary School In Akaki Kality Addis Ababa Ethiopia

Background: The prevalence of H. pylori infection mainly acquired during childhood andrnmay be persisting throughout life and it has been found high in developing countries; thisrnprevalence is related to low socioeconomic status, and Intestinal parasitic infections arernamong the major public health problems in Sub-Saharan Africa. Their distribution is mainlyrnassociated with poor personal hygiene, environmental sanitation and limited access to cleanrnwater. There is limited information on the burden of the H. pylori and intestinal parasites inrnEthiopia and this research will address such gap.rnObjectives: To assess the prevalence of Helicobacter pylori and intestinal parasite and theirrnassociated risk among Elementary School Children.rnMethods: A cross sectional study was conducted to determine the burden and risk factorsrnassociated of H. pylori and intestinal parasite among in 422 school children. The study wasrnconducted between March to June 2017. Multiple sampling methods were used, to collect therndata. The stool samples were tested for intestinal parasite using direct wet mount andrnconcentration techniques and stool antigen test for H. pylori. Information from the laboratoryrnanalysis and questionnaires were entered into SPSS version.20 for analysis.rnResults: A total of (n=422) students have been participated in this study 55.2 %( n=233/422)rn44.8% (n=189/418) were female and male respectively. Age of range (4-18) years, with meanrnage of 11.16±SD years [95% CI 10.82-11.5], the mean weight of 30.99 ± SD Kg [95 % CIrn29.9 -32.08], the mean height 1.36 ± SD m [95% CI 1.34-1.38], Helicobacter pylori antigensrnwere detected in 14.6% (n=61/422) ,and 6%(n=25/189) 8.6%(n=36/233) male and femalernrespectively. Intestinal parasite were detected in 23.7 %( n=100/422), 10.4 %( n=44/189)rn13.3 %( n=56/422) male and female respectively. The co-infection for HP and IPI wasrnpresent in 4.5 %( n=19/422). The age of study subject, educational status/ monthly incomernstatus of their family/guardians, overcrowding and some sanitary practice were a risk factorrnfor the development of intestinal parasite and H. pylori infection.rnConclusions: The prevalence of H. pylori infection is 14.6 %, and IPI is 23.7 %, this burdenrnof IPI among school children call mass de-worming which is going on in some schools.rnMoreover further studies are required to understand the role of HP and IPI on the overallrngrowth of children and school performance.rnKey words: H. pylori, intestinal parasite, School Children, Selam Fire Elementary School

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