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Objective  Intestinal parasites and  H. pylori  are well-known for their high prevalence worldwide. Thus, the objective of this study waste assess risk factors and co-infection of intestinal parasites and  H. pylori  among adult patients with upper gastrointestinal complaints. A hospital-based cross sectional study was conducted among 363 consecutive adult patients from December 10, 2015 to February 30,2016. Stool and venous blood were collected for analysis of Intestinal parasites and  H. pylori  infection, respectively. Data was analyzed using SPSS version 16 and logistic regression analysis was carried out to assess predictors of co-infection. A  p  ≤ 0.05 was considered as statistically significant.    Results   Helicobacter pylori  IgG and intestinal parasites were detected in 70.25–38.3% of participants, respectively while  G. lamblia  accounted 22.3% . G. lamblia  prevalence was significantly higher among  H. pylori  infected participants (COR: 2.76; 95% CI: 1.46–5.23), but  E. hystolytica/dispar  infection didn’t show significant variation (p = 0.15).  H. pylori  and intestinal parasites concomitant co-infection was associated with male sex (AOR: 1.61; 95% CI: 1.01–2.56), consumption of river water (AOR: 1.85; 95% CI: 1.11–3.07) and ground/spring water (AOR: 4.10; 95% CI: 1.97–8.52). Thus, besides  H. pylori  investigation, upper gastrointestinal symptomatic patients should be screened for  G. lamblia  infection and other intestinal parasites.

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Co-infection of intestinal parasites and Helicobacter pylori among upper gastrointestinal symptomatic adult patients attending Mekanesalem Hospital, northeast Ethiopia