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H. pylori transmission is believed to be mainly familial, and there is epidemiological evidence that shows that the infection spreads via person-to-person contact (14). Moreover, potential reservoirs of bacterium are through to be animals who are in close contacts with humans: cats, dogs, pigs, and birds. There is also the hypothesis that the most predominant mode of transmission is mother-to-child via contact with regurgitated gastric juice from the mother′s mouth. The most common accepted routes of transmission are fecal-oral in developing countries, and gastro-oral route in developed countries. There are many risk factors for H. pylori infection including: overpopulation/congested houses, family sizes, unsafe sources of water, and low socioeconomic status (17).

Helicobacter pylori Infection and Undiagnosed Dyspepsia in Dyspeptic Populations Under 45 of Age Tested by ELISA, Urease Breath Test and Helicotest