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. 1991 Apr;32(4):347–350. doi: 10.1136/gut.32.4.347

Helicobacter pylori infection in healthy people: a dynamic process?

B Meyer 1, B Werth 1, C Beglinger 1, S Dill 1, J Drewe 1, W A Vischer 1, R H Eggers 1, F E Bauer 1, G A Stalder 1
PMCID: PMC1379068  PMID: 2026331

Abstract

Epidemiological studies using serological tests have shown that a large proportion of healthy people have antibodies against Helicobacter pylori (anti-Hp). It is uncertain whether the presence of anti-Hp indicates active infection or only past exposure to the micro-organism. In this study we determined anti-Hp with a specific enzyme linked immunosorbent assay in 100 healthy volunteers who were at the same time investigated for active H pylori infection by means of the 13C-urea breath test. Forty nine per cent had a high anti-Hp titre, but only 24% had active H pylori infection. Our study suggests that a considerable number of healthy people previously infected with H pylori have spontaneously eliminated this microorganism. We suggest that the inability of ulcer patients to eliminate H pylori may be important in the pathogenesis of peptic ulcer disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barthel J. S., Westblom T. U., Havey A. D., Gonzalez F., Everett E. D. Gastritis and Campylobacter pylori in healthy, asymptomatic volunteers. Arch Intern Med. 1988 May;148(5):1149–1151. [PubMed] [Google Scholar]
  2. Bell G. D., Weil J., Harrison G., Morden A., Jones P. H., Gant P. W., Trowell J. E., Yoong A. K., Daneshmend T. K., Logan R. F. 14C-urea breath analysis, a non-invasive test for Campylobacter pylori in the stomach. Lancet. 1987 Jun 13;1(8546):1367–1368. doi: 10.1016/s0140-6736(87)90664-7. [DOI] [PubMed] [Google Scholar]
  3. Dent J. C., McNulty C. A., Uff J. S., Gear M. W., Wilkinson S. P. Campylobacter pylori urease: a new serological test. Lancet. 1988 Apr 30;1(8592):1002–1002. doi: 10.1016/s0140-6736(88)91827-2. [DOI] [PubMed] [Google Scholar]
  4. Dill S., Payne-James J. J., Misiewicz J. J., Grimble G. K., McSwiggan D., Pathak K., Wood A. J., Scrimgeour C. M., Rennie M. J. Evaluation of 13C-urea breath test in the detection of Helicobacter pylori and in monitoring the effect of tripotassium dicitratobismuthate in non-ulcer dyspepsia. Gut. 1990 Nov;31(11):1237–1241. doi: 10.1136/gut.31.11.1237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dooley C. P., Cohen H., Fitzgibbons P. L., Bauer M., Appleman M. D., Perez-Perez G. I., Blaser M. J. Prevalence of Helicobacter pylori infection and histologic gastritis in asymptomatic persons. N Engl J Med. 1989 Dec 7;321(23):1562–1566. doi: 10.1056/NEJM198912073212302. [DOI] [PubMed] [Google Scholar]
  6. Fitzgibbons P. L., Dooley C. P., Cohen H., Appleman M. D. Prevalence of gastric metaplasia, inflammation, and Campylobacter pylori in the duodenum of members of a normal population. Am J Clin Pathol. 1988 Dec;90(6):711–714. doi: 10.1093/ajcp/90.6.711. [DOI] [PubMed] [Google Scholar]
  7. Graham D. Y., Klein P. D., Evans D. J., Jr, Evans D. G., Alpert L. C., Opekun A. R., Boutton T. W. Campylobacter pylori detected noninvasively by the 13C-urea breath test. Lancet. 1987 May 23;1(8543):1174–1177. doi: 10.1016/s0140-6736(87)92145-3. [DOI] [PubMed] [Google Scholar]
  8. Graham D. Y., Klein P. D., Opekun A. R., Boutton T. W. Effect of age on the frequency of active Campylobacter pylori infection diagnosed by the [13C]urea breath test in normal subjects and patients with peptic ulcer disease. J Infect Dis. 1988 Apr;157(4):777–780. doi: 10.1093/infdis/157.4.777. [DOI] [PubMed] [Google Scholar]
  9. Gregson D. B., Low D. E., Cohen M. M., Cooter N. B., Connon J. J., Wolman S. L., Simor A. E. The prevalence of Campylobacter pylori gastritis among asymptomatic adults. CMAJ. 1989 Jun 15;140(12):1449–1453. [PMC free article] [PubMed] [Google Scholar]
  10. Jones D. M., Eldridge J., Fox A. J., Sethi P., Whorwell P. J. Antibody to the gastric campylobacter-like organism ("Campylobacter pyloridis")--clinical correlations and distribution in the normal population. J Med Microbiol. 1986 Aug;22(1):57–62. doi: 10.1099/00222615-22-1-57. [DOI] [PubMed] [Google Scholar]
  11. Levy D., Anderson K. M., Savage D. D., Kannel W. B., Christiansen J. C., Castelli W. P. Echocardiographically detected left ventricular hypertrophy: prevalence and risk factors. The Framingham Heart Study. Ann Intern Med. 1988 Jan;108(1):7–13. doi: 10.7326/0003-4819-108-1-7. [DOI] [PubMed] [Google Scholar]
  12. Loffeld R. J., Stobberingh E., Flendrig J. A., van Spreeuwel J. P., Arends J. W. Diagnostic value of an immunoassay to detect anti Campylobacter pylori antibodies in non-ulcer dyspepsia. Lancet. 1989 May 27;1(8648):1182–1185. doi: 10.1016/s0140-6736(89)92761-x. [DOI] [PubMed] [Google Scholar]
  13. Marshall B. J., Armstrong J. A., McGechie D. B., Glancy R. J. Attempt to fulfil Koch's postulates for pyloric Campylobacter. Med J Aust. 1985 Apr 15;142(8):436–439. doi: 10.5694/j.1326-5377.1985.tb113443.x. [DOI] [PubMed] [Google Scholar]
  14. Marshall B. J., Surveyor I. Carbon-14 urea breath test for the diagnosis of Campylobacter pylori associated gastritis. J Nucl Med. 1988 Jan;29(1):11–16. [PubMed] [Google Scholar]
  15. Musgrove C., Bolton F. J., Krypczyk A. M., Temperley J. M., Cairns S. A., Owen W. G., Hutchinson D. N. Campylobacter pylori: clinical, histological, and serological studies. J Clin Pathol. 1988 Dec;41(12):1316–1321. doi: 10.1136/jcp.41.12.1316. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Perez-Perez G. I., Dworkin B. M., Chodos J. E., Blaser M. J. Campylobacter pylori antibodies in humans. Ann Intern Med. 1988 Jul 1;109(1):11–17. doi: 10.7326/0003-4819-109-1-11. [DOI] [PubMed] [Google Scholar]
  17. Pettross C. W., Appleman M. D., Cohen H., Valenzuela J. E., Chandrasoma P., Laine L. A. Prevalence of Campylobacter pylori and association with antral mucosal histology in subjects with and without upper gastrointestinal symptoms. Dig Dis Sci. 1988 Jun;33(6):649–653. doi: 10.1007/BF01540425. [DOI] [PubMed] [Google Scholar]
  18. Schaub N., Stalder H., Stalder G. A., Marbet U. A., Vögtlin J., Affolter H., Wegmann W., Vischer W. A., Zingel O., Tanner K. Campylobacter pylori, Gastritis und Ulkuskrankheit. Mikrobiologische, histologische und serologische Untersuchungen. Schweiz Med Wochenschr. 1988 Mar 5;118(9):293–301. [PubMed] [Google Scholar]

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