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Predicting HIV in a public dental facility using group I oral lesions.
SADJ. 2008 Nov; 63(10):538, 540, 542-3.SADJ

Abstract

Group I oral lesions have been strongly associated with HIV and in resource-poor settings could be useful predictors of HIV. No study has evaluated the predictability of these lesions in diagnosing HIV/AIDS in patients who attend dental public facilities in South Africa.

OBJECTIVES

To determine the HIV status, prevalence of Group I oral lesions and their predictive value amongst patients attending a dental clinic in Soweto, South Africa.

METHODS

This cross sectional analytical study comprised of adult patients attending a dental facility over one week in 2006. All patients underwent a clinical examination by calibrated dentists.

RESULTS

A total of 165 patients (100% response) were screened of which 87 (53%) were female. The HIV prevalence was 28% (n = 46) and of those who tested positive, 15% (7) manifested with Necrotizing Ulcerative Gingivitis (NUG). This proved to be highly predictive for HIV (positive predictive value = 93.8%, specificity = 99.6% and likelihood ratio = 40).

CONCLUSION

The high prevalence rate of HIV in dental facilities confirms the heavy burden of the HIV epidemic. NUG proved to be a good predictor of HIV in this setting.

Authors+Show Affiliations

Division of Public Oral Health, Schools of Public Health and Oral Health Sciences, University of the Witwatersrand. ahmed.bhayat@wits.ac.zaNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19322964

Citation

Bhayat, A, et al. "Predicting HIV in a Public Dental Facility Using Group I Oral Lesions." SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging, vol. 63, no. 10, 2008, pp. 538, 540, 542-3.
Bhayat A, Yengopal V, Rudolph MJ, et al. Predicting HIV in a public dental facility using group I oral lesions. SADJ. 2008;63(10):538, 540, 542-3.
Bhayat, A., Yengopal, V., Rudolph, M. J., & Nemutandani, M. S. (2008). Predicting HIV in a public dental facility using group I oral lesions. SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging, 63(10), 538, 540, 542-3.
Bhayat A, et al. Predicting HIV in a Public Dental Facility Using Group I Oral Lesions. SADJ. 2008;63(10):538, 540, 542-3. PubMed PMID: 19322964.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predicting HIV in a public dental facility using group I oral lesions. AU - Bhayat,A, AU - Yengopal,V, AU - Rudolph,M J, AU - Nemutandani,M S, PY - 2009/3/28/entrez PY - 2009/3/28/pubmed PY - 2009/5/21/medline SP - 538, 540, 542-3 JF - SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging JO - SADJ VL - 63 IS - 10 N2 - UNLABELLED: Group I oral lesions have been strongly associated with HIV and in resource-poor settings could be useful predictors of HIV. No study has evaluated the predictability of these lesions in diagnosing HIV/AIDS in patients who attend dental public facilities in South Africa. OBJECTIVES: To determine the HIV status, prevalence of Group I oral lesions and their predictive value amongst patients attending a dental clinic in Soweto, South Africa. METHODS: This cross sectional analytical study comprised of adult patients attending a dental facility over one week in 2006. All patients underwent a clinical examination by calibrated dentists. RESULTS: A total of 165 patients (100% response) were screened of which 87 (53%) were female. The HIV prevalence was 28% (n = 46) and of those who tested positive, 15% (7) manifested with Necrotizing Ulcerative Gingivitis (NUG). This proved to be highly predictive for HIV (positive predictive value = 93.8%, specificity = 99.6% and likelihood ratio = 40). CONCLUSION: The high prevalence rate of HIV in dental facilities confirms the heavy burden of the HIV epidemic. NUG proved to be a good predictor of HIV in this setting. SN - 1029-4864 UR - https://www.unboundmedicine.com/medline/citation/19322964/Predicting_HIV_in_a_public_dental_facility_using_group_I_oral_lesions_ L2 - http://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -