Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy

Introduction: oral candidiasis is the most common opportunistic infection in HIV-infected patients, and on many occasions it is the first manifestation of the disease. Objective: determine the association between oral candidiasis, CD4 lymphocyte levels and antiretroviral treatment in HIV/AIDS pati...

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Main Authors: Jonathan Harris Ricardo, Alejandra Del Carmen Herrera Herrera
Format: Article
Language:English
Published: Editorial Ciencias Médicas 2015-05-01
Series:Revista Cubana de Estomatología
Subjects:
Online Access:http://www.revestomatologia.sld.cu/index.php/est/article/view/785
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author Jonathan Harris Ricardo
Alejandra Del Carmen Herrera Herrera
author_facet Jonathan Harris Ricardo
Alejandra Del Carmen Herrera Herrera
author_sort Jonathan Harris Ricardo
collection DOAJ
description Introduction: oral candidiasis is the most common opportunistic infection in HIV-infected patients, and on many occasions it is the first manifestation of the disease. Objective: determine the association between oral candidiasis, CD4 lymphocyte levels and antiretroviral treatment in HIV/AIDS patients. Methods: a descriptive cross-sectional study was conducted. The study population was 141 patients diagnosed as HIV-positive. All clinical intraoral examinations were performed by the same examiner. Data about CD4 lymphocyte levels and antiretroviral therapy were obtained from the patients’ medical records. The information was processed with the statistical package Stata v11. Results: 66.7 % of the study population were men. Sexual transmission was the most common form of transmission (96 %). Prevalence of oral manifestations associated with HIV was 59.5 %; the most common form of the disease was pseudomembranous candidiasis (31.3 %), followed by erythematous candidiasis (4.2 %). With respect to pseudomembranous candidiasis and CD4 levels, 22 patients had CD4 values below 200 cell/mL3, and 29 were undergoing antiretroviral therapy with two drug groups: IP/INTR. Conclusion: pseudomembranous candidiasis is highly correlated with CD4 lymphocyte levels below 200 cell/mm3. Patients under antiretroviral monotherapy presented less candidiasis than those under bitherapy.
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spelling doaj.art-800690177d3d44c192e652ad529195372022-12-21T22:05:18ZengEditorial Ciencias MédicasRevista Cubana de Estomatología0034-75071561-297X2015-05-01531914152Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapyJonathan Harris Ricardo0Alejandra Del Carmen Herrera Herrera1Universidad del Sinú Cartagena, en colaboración con la Corporación Universitaria “Rafael Núñez”. CartagenaUniversidad de Cartagena, en colaboración con la Corporación Universitaria “Rafael Núñez”. CartagenaIntroduction: oral candidiasis is the most common opportunistic infection in HIV-infected patients, and on many occasions it is the first manifestation of the disease. Objective: determine the association between oral candidiasis, CD4 lymphocyte levels and antiretroviral treatment in HIV/AIDS patients. Methods: a descriptive cross-sectional study was conducted. The study population was 141 patients diagnosed as HIV-positive. All clinical intraoral examinations were performed by the same examiner. Data about CD4 lymphocyte levels and antiretroviral therapy were obtained from the patients’ medical records. The information was processed with the statistical package Stata v11. Results: 66.7 % of the study population were men. Sexual transmission was the most common form of transmission (96 %). Prevalence of oral manifestations associated with HIV was 59.5 %; the most common form of the disease was pseudomembranous candidiasis (31.3 %), followed by erythematous candidiasis (4.2 %). With respect to pseudomembranous candidiasis and CD4 levels, 22 patients had CD4 values below 200 cell/mL3, and 29 were undergoing antiretroviral therapy with two drug groups: IP/INTR. Conclusion: pseudomembranous candidiasis is highly correlated with CD4 lymphocyte levels below 200 cell/mm3. Patients under antiretroviral monotherapy presented less candidiasis than those under bitherapy.http://www.revestomatologia.sld.cu/index.php/est/article/view/785candidiasis bucalantígenos cd4infecciones por vih.
spellingShingle Jonathan Harris Ricardo
Alejandra Del Carmen Herrera Herrera
Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy
Revista Cubana de Estomatología
candidiasis bucal
antígenos cd4
infecciones por vih.
title Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy
title_full Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy
title_fullStr Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy
title_full_unstemmed Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy
title_short Oral candidiasis in HIV-AIDS patients associated with CD4 T lymphocyte levels and antiretroviral therapy
title_sort oral candidiasis in hiv aids patients associated with cd4 t lymphocyte levels and antiretroviral therapy
topic candidiasis bucal
antígenos cd4
infecciones por vih.
url http://www.revestomatologia.sld.cu/index.php/est/article/view/785
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