PMID- 25351215 OWN - NLM STAT- MEDLINE DCOM- 20150527 LR - 20181202 IS - 1002-0098 (Print) IS - 1002-0098 (Linking) VI - 49 IP - 8 DP - 2014 Aug TI - [The incidence of oral candidiasis in patients with human immunodeficiency virus infection/acquired immunodeficiency syndrome from Yunnan, China]. PG - 454-8 AB - OBJECTIVE: To assess the incidence of oral candidiasis and its influencing factors in patients with human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS). METHODS: An oral examination was conducted in the 1 566 HIV/AIDS patients in the Third Hospital of Kunming from March 2008 to September 2012 (M/F: 1 062/504, age range: 0.2 to 84.0 years old). The HIV viral load (HIV- RNA) and peripheral blood CD4 count were respectively analyzed by Bayer Q340 fluorescence signal surveying instrument (bDNA method) and flow cytometry analysis. The information on usage of highly active anti-retroviral (HAART) drugs and transmission of HIV were obtained through questionnaires. The incidence of oral candidiasis in patients with different HIV-RNA levels and CD4 count and the use of HAART was analyzed and compared. RESULTS: The total incidence of oral candidosis was 31.0% (486/1 566) and there was no difference in sex. The oral lesions were presented by three types, psudomembranous candidosis (PC), erythematous candidosis (EC) and angular cheilitis (AC), and the morbidity was 13.9% (217/1 566), 17.0% (267/1 566) and 4.9% (77/1 566), respectively. The average level of CD4 count in psudomembranous candidosis, erythematous candidosis and angular cheilitis [81.0 (146.0), 74.0 (152.0) and 69.0 (121.5) cell/microl] showed no significant difference (P > 0.05). The incidence of oral candidiasis in non-HAART and HAART subjects were 36.3% (402/1 107) and 18.3% (84/459), respectively (P = 0.000). The CD4 count and absolute counts of HIV viral load in oral candidiasis patients and non-oral candidiasis patients had significant difference (Z = -10.261, P = 0.000 and Z = -4.762, P = 0.000). CONCLUSIONS: The morbidity of oral candidiasis in HIV/AIDS patients in Yunnan Province was high, including PC, EC and AC and hyperplastic candidosis was not detected. The incidence was related to the degree of immune suppression and HIV viral load. FAU - Wen, Yan AU - Wen Y AD - Department of Dentistry, Kunming Medical University Yan An Hospital, Kunming Yan An Hospital, Kunming 650051, China. FAU - Li, Chengwen AU - Li C FAU - Pei, Junhaoxiang AU - Pei J FAU - Bai, Jinsong AU - Bai J FAU - Yang, Xianghong AU - Yang X FAU - Duan, Kaiwen AU - Duan K AD - Email: kwduan@aliyun.com.cn. LA - chi PT - Journal Article PL - China TA - Zhonghua Kou Qiang Yi Xue Za Zhi JT - Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology JID - 8711066 SB - IM MH - AIDS-Related Opportunistic Infections/*epidemiology MH - Acquired Immunodeficiency Syndrome/*complications MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - CD4 Lymphocyte Count MH - Candidiasis, Oral/complications/*epidemiology MH - Cheilitis MH - Child MH - Child, Preschool MH - China/epidemiology MH - HIV Infections MH - Humans MH - Incidence MH - Infant MH - Middle Aged MH - Mouth Diseases EDAT- 2014/10/30 06:00 MHDA- 2015/05/28 06:00 CRDT- 2014/10/30 06:00 PHST- 2014/10/30 06:00 [entrez] PHST- 2014/10/30 06:00 [pubmed] PHST- 2015/05/28 06:00 [medline] PST - ppublish SO - Zhonghua Kou Qiang Yi Xue Za Zhi. 2014 Aug;49(8):454-8.