PMID- 32862535 OWN - NLM STAT- MEDLINE DCOM- 20201116 LR - 20201116 IS - 1601-0825 (Electronic) IS - 1354-523X (Linking) VI - 26 Suppl 1 DP - 2020 Sep TI - Innovations for prevention and care of oral candidiasis in HIV-infected individuals: Are they available?-A workshop report. PG - 91-102 LID - 10.1111/odi.13391 [doi] AB - Oral candidiasis (OC) is the most prevalent HIV-related oral lesion in patients on combined anti-retroviral therapy (cART) or without cART. Management is challenged in some patients by development of resistance to azole drugs, such as fluconazole. Recent scientific knowledge about OC pathogenesis, the role of OC in the immune reconstitution inflammatory syndrome (IRIS), the relationship of OC with the microbiome, and novelties in OC treatment was discussed in an international workshop format. Literature searches were conducted to address five questions: (a) Considering the pathogenesis of Candida spp. infection, are there any potential therapeutic targets that could be considered, mainly in HIV-infected individuals resistant to fluconazole? (b) Is oral candidiasis part of IRIS in HIV patients who receive cART? (c) Can management of the oral microbiome reduce occurrence of OC in patients with HIV infection? (d) What are the recent advances (since 2015) regarding plant-based and alternative medicines in management of OC? and (e) Is there a role for photodynamic therapy in management of OC in HIV-infected patients? A number of the key areas where further research is necessary were identified to allow a deeper insight into this oral condition that could help to understand its nature and recommend alternatives for care. CI - (c) 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved. FAU - Ramirez-Amador, Velia AU - Ramirez-Amador V AD - Department of Health Care, Master s Course in Oral Pathology and Oral Medicine, Universidad Autonoma Metropolitana-Xochimilco, Mexico City, Mexico. FAU - Patton, Lauren L AU - Patton LL AD - Division of Craniofacial and Surgical Care, Adams School of Dentistry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. FAU - Naglik, Julian R AU - Naglik JR AD - Centre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK. FAU - Nittayananta, Wipawee AU - Nittayananta W AD - Faculty of Dentistry, Thammasat University, Bangkok, Thailand. LA - eng PT - Journal Article PL - Denmark TA - Oral Dis JT - Oral diseases JID - 9508565 RN - 0 (Antifungal Agents) RN - 8VZV102JFY (Fluconazole) MH - *Antifungal Agents/therapeutic use MH - *Candidiasis, Oral/drug therapy/prevention & control MH - Fluconazole/therapeutic use MH - *HIV Infections/complications/drug therapy MH - Humans OTO - NOTNLM OT - Candida OT - HIV OT - anti-fungal therapy OT - immune reconstitution inflammatory syndrome OT - microbiome OT - probiotics EDAT- 2020/08/31 06:00 MHDA- 2020/11/18 06:00 CRDT- 2020/08/31 06:00 PHST- 2020/08/31 06:00 [entrez] PHST- 2020/08/31 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] AID - 10.1111/odi.13391 [doi] PST - ppublish SO - Oral Dis. 2020 Sep;26 Suppl 1:91-102. doi: 10.1111/odi.13391.