Correlation between H. pylori infection and COVID-19 among a sample of dental students
Main Article Content
Keywords
Helicobacter pylori, Coronavirus 19, Gastrointestinal tract
Abstract
COVID-19 infection, the most prevalent deadly pandemic in the world, has been correlated to the highly prevalent Helicobacter Pylori (H.P.) infection which is considered a major cause for gastric carcinoma and it seems to be an important risk factor that predisposes and augments the course of COVID-19 infection, via increasing the expression of angiotensin-converting enzyme-2 receptors in the gastrointestinal tract, to which COVID- 19 binds to enter the cell, causing gastrointestinal symptoms during the course of the disease. The aim of this study was to investigate any possible correlation between H. pylori infection and COVID-19 among a sample of dental students, at the faculty of Dentistry, Fayoum University, Egypt. Methods & Subjects: This study was carried out from October to November, 2022 among a sample of 100 dental students. Those who reported the characteristic symptoms of COVID-19 infection and whose infection was confirmed by nasopharyngeal (NS) PCR-RT swabs, were included in the study. All students were screened for anti- H.P. using saliva samples, analyzed with an enzyme-linked immunosorbent assay (ELISA). All were evaluated for manifestations of COVID-19 infection, severity of the course, hospitalized days because of the virus and outcome of the disease process.
References
2. Namyalo E, Nyakarahuka L, Afayoa M, Baziira J, Tamale A, Atuhaire GC, et al. Prevalence of Helicobacter P. among patients with gastrointestinal tract (GIT) symptoms: A retrospective study at selected Africa air rescue (AAR) clinics in Kampala, Uganda, from 2015 to 2019. Journal of Tropical Medicine. 2021;2021:1-10.
3. Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, et al. Global prevalence of Helicobacter P. infection: systematic review and meta-analysis. Gastroenterology. 2017;153(2):420-9.
4. Marshall B, Warren JR. Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. The lancet. 1984;323(8390):1311-5.
5. Owen RJ. Helicobacter - species classification and identification. British Medical Bulletin. 1998;54(1):17-30.
6. Angol DC, Ocama P, Ayazika Kirabo T, Okeng A, Najjingo I, Bwanga F. Helicobacter P. from peptic ulcer patients in Uganda is highly resistant to clarithromycin and fluoroquinolones: results of the GenoType HelicoDR test directly applied on stool. BioMed research international. 2017;2017.
7. Gonzalez I, Lindner C, Schneider I, Morales MA, Rojas A. Inflammation at the crossroads of Helicobacter P. and COVID-19. Future Medicine; 2022. p. 77-80.
8. Parasa S, Desai M, Chandrasekar VT, Patel HK, Kennedy KF, Roesch T, et al. Prevalence of gastrointestinal symptoms and fecal viral shedding in patients with coronavirus disease 2019: a systematic review and meta-analysis. JAMA network open. 2020;3(6):e2011335-e.
9. D’amico F, Baumgart DC, Danese S, Peyrin-Biroulet L. Diarrhea during COVID-19 infection: pathogenesis, epidemiology, prevention, and management. Clinical Gastroenterology and hepatology. 2020;18(8):1663-72.
10. Awuku YA, Simpong DL, Alhassan IK, Tuoyire DA, Afaa T, Adu P. Prevalence of helicobacter P. infection among children living in a rural setting in Sub-Saharan Africa. BMC Public Health. 2017;17:1-6.
11. Mhaskar RS, Ricardo I, Azliyati A, Laxminarayan R, Amol B, Santosh W, et al. Assessment of risk factors of Helicobacter P. infection and peptic ulcer disease. Journal of global infectious diseases. 2013;5(2):60.
12. Mladenova I, Durazzo M. Transmission of Helicobacter P.. Minerva gastroenterologica e dietologica. 2018;64(3):251-4.
13. Bellack NR, Koehoorn MW, MacNab YC, Morshed MG. A conceptual model of water's role as a reservoir in Helicobacter P. transmission: a review of the evidence. Epidemiology & Infection. 2006;134(3):439-49.
14. Abongwa LE, Elvis M. Assessing prevalence and risk factors of helicobacter P. infection in the northwest region of Cameroon. Clin Microbiol. 2017;6:70.
15. Kim N, Lim SH, Lee KH, You JY, Kim JM, Lee NR, et al. Helicobacter P. in dental plaque and saliva. The Korean journal of internal medicine. 2000;15(3):187.
16. Adler I, Muiño A, Aguas S, Harada L, Diaz M, Lence A, et al. Helicobacter P. and oral pathology: relationship with the gastric infection. World Journal of Gastroenterology: WJG. 2014;20(29):9922.
17. Shimoyama T, Horie N, Kato T, Kaneko T, Komiyama K. Helicobacter P. in oral ulcerations. Journal of oral science. 2000;42(4):225-9.
18. Balamtekin N, Artuk C, Arslan M, Gülşen M. The effect of Helicobacter P. on the presentation and clinical course of coronavirus disease 2019 infection. Journal of pediatric gastroenterology and nutrition. 2021;72(4):511.
19. Sun Y, Dong Y, Wang L, Xie H, Li B, Chang C, et al. Characteristics and prognostic factors of disease severity in patients with COVID-19: The Beijing experience. Journal of autoimmunity. 2020;112:102473.
20. Jasim Abdullah Y, Hasan NF, Zghair Jaber Alsaedi R. Correlation between Helicobacter P. Infection and COVID-19. Iranian Journal of War and Public Health. 2021;13(4):255-9.
21. Rodrigues AC, Adamoski D, Genelhould G, Zhen F, Yamaguto GE, Araujo‐Souza PS, et al. NEAT1 and MALAT1 are highly expressed in saliva and nasopharyngeal swab samples of COVID‐19 patients. Molecular oral microbiology. 2021;36(6):291-4.
22. Sonkar C, Kashyap D, Varshney N, Baral B, Jha HC. Impact of gastrointestinal symptoms in COVID-19: a molecular approach. SN Comprehensive Clinical Medicine. 2020;2:2658-69.
23. Sugimoto M, Yamaoka Y, Shirai N, Furuta T. Role of renin‐angiotensin system in gastric oncogenesis. Journal of gastroenterology and hepatology. 2012;27(3):442-51.
24. Franceschi F, Covino M, Roubaud Baudron C. Review: Helicobacter P. and extragastric diseases. Helicobacter. 2019;24(S1):e12636.
25. Lai C-C, Ko W-C, Lee P-I, Jean S-S, Hsueh P-R. Extra-respiratory manifestations of COVID-19. International journal of antimicrobial agents. 2020;56(2):106024.
26. Lanas A. We are using too many PPIs, and we need to stop: a European perspective. Official journal of the American College of Gastroenterology| ACG. 2016;111(8):1085-6.
27. Ford AC, Moayyedi P. Managing dyspepsia. Current gastroenterology reports. 2009;11(4):288-94.
28. Li G-F, An X-X, Yu Y, Jiao L-R, Canarutto D, Yu G, et al. Do proton pump inhibitors influence SARS-CoV-2 related outcomes? A meta-analysis. Gut. 2021;70(9):1806-8.
29. Bonaventura A, Vecchié A, Dagna L, Martinod K, Dixon DL, Van Tassell BW, et al. Endothelial dysfunction and immunothrombosis as key pathogenic mechanisms in COVID-19. Nature Reviews Immunology. 2021;21(5):319-29.
30. Hang W, Chen C, Zhang XA, Wang DW. Endothelial dysfunction in COVID-19 calls for immediate attention: the emerging roles of the endothelium in inflammation caused by SARS-CoV-2. Frontiers of Medicine. 2021;15:638-43.
31. Libby P, Lüscher T. COVID-19 is, in the end, an endothelial disease. European heart journal. 2020;41(32):3038-44.
32. Zippi M, Fiorino S, Budriesi R, Micucci M, Corazza I, Pica R, et al. Paradoxical relationship between proton pump inhibitors and COVID-19: A systematic review and meta-analysis. World J Clin Cases. 2021;9(12):2763-77.
33. Mezmale L, Coelho LG, Bordin D, Leja M. Epidemiology of Helicobacter P.. Helicobacter. 2020;25:e12734.
34. Al Asqah M, Al Hamoudi N, Anil S, Al-hamoudi WK. Is the presence of Helicobacter P. in the dental plaque of patients with chronic periodontitis a risk factor for gastric infection? Canadian Journal of Gastroenterology. 2009;23(3):177-9.
35. Zou QH, Li RQ. Helicobacter P. in the oral cavity and gastric mucosa: a meta‐analysis. Journal of oral pathology & medicine. 2011;40(4):317-24.
36. De Sousa L, Vásquez L, Velasco J, Parlapiano D. Isolation of Helicobacter P. in gastric mucosa, dental plaque and saliva in a population from the Venezuelan Andes. Investigacion clinica. 2006;47(2):109-16.
37. Khadim WM, Matrood AA, Al-Ruaby KJ. DETECTION OF HELICOBACTER P. INFECTION IN PATIENTS WITH COVID-19 INFECTION AND GASTROINTESTINAL SYMPTOMS. Web of Scientist: International Scientific Research Journal. 2022;3(10):790-9.
38. Jameel FQ. Prevalence of Helicobacter P. infection among COVID-19 patients in Baghdad province. Eurasian Medical Research Periodical. 2022;15:71-8.