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Brazilian Journal of Oral Sciences
Piracicaba Dental School - UNICAMP
EISSN: 1677-3225
Vol. 7, No. 26, 2008, pp. 1591-1595
Bioline Code: os08025
Full paper language: English
Document type: Research Article
Document available free of charge

Brazilian Journal of Oral Sciences, Vol. 7, No. 26, 2008, pp. 1591-1595

 en Appraisal of oral lesions status of HIV/AIDS patients in South Western Uganda
Agwu, Ezera; Ihongbe, John Cletus; Tirwomwe, Jackson Francis; Pazos, Victoria; Tirwomwe, Michael & Casadesus, Luis

Abstract

Aim: To establish a regional surveillance data that may contribute to improvement of oral health prevention/control programs in South Western Uganda.
Methods: Using WHO guidelines, HIV-associated oral lesions were identified among 605 HIV/AIDS patients (469 females and 136 males), selected at random from 4 districts of South Western Uganda. Pearson's Chi square test of independence (α=0.01), was used to compare results.
Results: Prevalence of oral lesions was 73.2%. Pseudomembranous Candidiasis (PC) showed the highest overall prevalence of 71.1% (34.9% single and 36.2% mixed); followed by 39.9% prevalence of Erythematous Candidiasis (EC) (13.2%) single; 26.7% mixed) and 18.8% prevalence of Angular Chelitis (AC) (3.1% single and 15.7% mixed). There was: 23.6% co-infection of PC and EC; 12.6% PC and AC, 3.1% were EC and AC, and 17.0% intra-oral pigmentation. Prevalence of oral lesions was significantly (p<0.01) dependent on host pre-exposure to antimicrobials.
Conclusions: Oral infections are still highly prevalent among the studied HIV/AIDS patients in South Western Uganda. This observation may be due to inadequate antimicrobial agents and oral/dental care. There's urgent need to train primary health care workers in management of oral lesions associated with HIV/AIDS. More studies are needed to evaluate HIV/AIDS oral lesions in the populace.

Keywords
Oral lesions, HIV/AIDS, Uganda

 
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