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Oral manifestations of HIV infection in adult patients from the province of Sancti Spiritus, Cuba.
J Oral Pathol Med. 2009 Jan; 38(1):126-31.JO

Abstract

BACKGROUND

Studies on the prevalence of HIV-related oral lesions (HIV-OL) have shown great variations among different countries. The aim of this study was to describe the prevalence of HIV-OL in adults infected with HIV in the province of Sancti Spiritus, Cuba, and to determine the factors associated with the presence of HIV-OL.

METHODS

A cross-sectional observational study was performed between November 2006 and August 2007 at the Hospital General Universitario 'Camilo Cienfuegos', Sancti Spiritus. One hundred and fifty-four HIV-infected patients were included. Patients were examined and interviewed by a periodontal specialist. Diagnosis of HIV-OL was based on clinical criteria. Demographical, clinical and laboratory data were obtained. Independent association of each factor with HIV-OL was assessed by logistic regression modelling.

RESULTS

The prevalence of HIV-OL was 40.9%. The commonest manifestation was oral hairy leucoplakia (n = 19; 12.3%); oral candidiasis (n = 17; 11%); herpes simplex virus infection (n = 11; 7.4%); and aphthous ulcer (n = 9; 5.8%). Principal factors associated with the presence of HIV-OL were CD4(+) lymphocytes <500 cells/mm(3) (OR: 2.06; 95% CI: 1.019-4.195) and smoking (OR: 2.03 CI: 1.037-3.982).

CONCLUSION

This study described the prevalence of HIV-OL in 154 HIV-infected patients which represent about 80% of those known to be infected in the province of Sancti Spiritus. The prevalence of HIV-OL was lower than those reported from developing countries. Oral hairy leucoplakia and oral candidiasis were the most prevalent HIV-OL. Smoking and CD4(+) cells count <500 cells/mm(3) were the two factors independently associated with the presence of HIV-OL.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Carpio E
Facultad de Ciencias Médicas Dr. Faustino Pérez Hernández, Sancti Spiritus, Cuba. ecarpio60@yahoo.es
López V
No affiliation info available
Fardales V
No affiliation info available
Benítez I
No affiliation info available

MeSH

AIDS-Related Opportunistic InfectionsAdolescentAdultCD4 Lymphocyte CountCandidiasis, OralCross-Sectional StudiesCubaFemaleGingivitisHIV InfectionsHumansLeukoplakia, HairyMaleMiddle AgedMouth DiseasesOral HygienePeriodontitisPrevalenceRisk FactorsSmokingStomatitis, AphthousStomatitis, HerpeticViral LoadYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19192058

Citation

Carpio, Emilio, et al. "Oral Manifestations of HIV Infection in Adult Patients From the Province of Sancti Spiritus, Cuba." Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, vol. 38, no. 1, 2009, pp. 126-31.
Carpio E, López V, Fardales V, et al. Oral manifestations of HIV infection in adult patients from the province of Sancti Spiritus, Cuba. J Oral Pathol Med. 2009;38(1):126-31.
Carpio, E., López, V., Fardales, V., & Benítez, I. (2009). Oral manifestations of HIV infection in adult patients from the province of Sancti Spiritus, Cuba. Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 38(1), 126-31. https://doi.org/10.1111/j.1600-0714.2008.00716.x
Carpio E, et al. Oral Manifestations of HIV Infection in Adult Patients From the Province of Sancti Spiritus, Cuba. J Oral Pathol Med. 2009;38(1):126-31. PubMed PMID: 19192058.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Oral manifestations of HIV infection in adult patients from the province of Sancti Spiritus, Cuba. AU - Carpio,Emilio, AU - López,Vania, AU - Fardales,Vicente, AU - Benítez,Iralys, PY - 2009/2/5/entrez PY - 2009/2/5/pubmed PY - 2009/5/23/medline SP - 126 EP - 31 JF - Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology JO - J Oral Pathol Med VL - 38 IS - 1 N2 - BACKGROUND: Studies on the prevalence of HIV-related oral lesions (HIV-OL) have shown great variations among different countries. The aim of this study was to describe the prevalence of HIV-OL in adults infected with HIV in the province of Sancti Spiritus, Cuba, and to determine the factors associated with the presence of HIV-OL. METHODS: A cross-sectional observational study was performed between November 2006 and August 2007 at the Hospital General Universitario 'Camilo Cienfuegos', Sancti Spiritus. One hundred and fifty-four HIV-infected patients were included. Patients were examined and interviewed by a periodontal specialist. Diagnosis of HIV-OL was based on clinical criteria. Demographical, clinical and laboratory data were obtained. Independent association of each factor with HIV-OL was assessed by logistic regression modelling. RESULTS: The prevalence of HIV-OL was 40.9%. The commonest manifestation was oral hairy leucoplakia (n = 19; 12.3%); oral candidiasis (n = 17; 11%); herpes simplex virus infection (n = 11; 7.4%); and aphthous ulcer (n = 9; 5.8%). Principal factors associated with the presence of HIV-OL were CD4(+) lymphocytes <500 cells/mm(3) (OR: 2.06; 95% CI: 1.019-4.195) and smoking (OR: 2.03 CI: 1.037-3.982). CONCLUSION: This study described the prevalence of HIV-OL in 154 HIV-infected patients which represent about 80% of those known to be infected in the province of Sancti Spiritus. The prevalence of HIV-OL was lower than those reported from developing countries. Oral hairy leucoplakia and oral candidiasis were the most prevalent HIV-OL. Smoking and CD4(+) cells count <500 cells/mm(3) were the two factors independently associated with the presence of HIV-OL. SN - 1600-0714 UR - https://www.unboundmedicine.com/medline/citation/19192058/Oral_manifestations_of_HIV_infection_in_adult_patients_from_the_province_of_Sancti_Spiritus_Cuba_ DB - PRIME DP - Unbound Medicine ER -