Oral and dental lesions in HIV infected Nigerian children.
Oral and dental lesions in HIV infected Nigerian children.
复制标题
DOI：
10.11604/pamj.2015.20.287.5273
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Agelebe E
中科院分区：
文献类型：
--
作者：
Oyedeji OA;Gbolahan OO;Abe EO;Agelebe E
艾滋病毒感染儿童的口腔疾病虽然很常见，但在发展中国家，对口腔疾病的研究不足，而且往往被医生忽视。本研究的目的是记录HIV感染儿童口腔病变的类型和频率，并检查HAART对其发生率的影响。一项横断面研究，旨在确定口腔病变的连续艾滋病毒感染的儿童和他们的分布在儿科抗逆转录病毒诊所。通过儿科医生和牙科医生的病史、临床检查和实验室检查获得受试者的口腔疾病和临床特征信息。研究的58名儿童包括34名男孩和24名女孩，年龄从3个月到13岁不等。58名儿童中有37名（63.8%）患有口腔疾病。牙釉质发育不全、念珠菌病、龋齿、口角炎和唇疱疹是患者中最常见的口腔病变。口腔软组织病变较少发生在HAART儿童。在念珠菌感染者中有统计学意义。超过60%的被诊断患有口腔疾病的儿童在研究之前对其口腔健康状况一无所知。口腔疾病在所研究的儿童中非常常见。儿童及其照顾者对口腔疾病的认识很低。HAART的管理可能对口腔软组织疾病的发展具有预防作用。有必要将牙科护理纳入儿科艾滋病毒护理方案。
Oral diseases in the HIV infected children though commonly encountered are under researched and often overlooked by physicians in developing countries. The aim of this study is to document the types and frequency of oral lesions in HIV infected children and examine the effects of management with HAART on their rates. A cross sectional study designed to identify the oral lesions in consecutive HIV infected children and their distribution at a Paediatric Anti-retroviral clinic. Information on oral disease and clinical features of the subjects were obtained by history and clinical examination and laboratory investigations by the pediatricians and dental surgeons. The 58 children studied consisted of 34 boys and 24 girls with their ages ranging from 3 months to 13 years. Thirty seven (63.8%) of the 58 children had oral diseases. Enamel hypoplasia, candidiasis, caries, angular chelitis, and herpes labialis were the most common oral lesions found in the patients. Oral soft tissue lesions were less frequently encountered among children on HAART. Statistical significance was recorded among those infected with candidiasis. More than 60% of the children diagnosed with oral disease had no knowledge of the state of their oral health before the study. Oral diseases are very common amongst the children studied. Awareness of oral disease among the children and their caregivers is low. Administration of HAART may have a preventive effect on the development of oral soft tissue disease. There is a need to integrate dental care into the paediatric HIV care programs.