HIV患者的口腔状况

Caio Vinicius Gonçalves Roman-Torres, Camila Barreto Barbieri, Luciano Martins, F. Pasquinelli, Marcelo Melo Quintela
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引用次数: 0

摘要

目的:据估计,目前有近3800万人感染艾滋病毒,其中超过三分之一的人有口腔表现。这些患者的免疫功能高度衰弱,对其生活质量影响巨大,临床上可在口腔中看到。方法:本研究旨在评估HIV感染引起的口腔表现。本研究的方法是在Medline、Lilacs、SciELO、Embase和Cochrane等数据库中积极检索信息。试图对这项工作的两个中心主题进行书目研究:口腔表现与艾滋病毒,艾滋病毒患者的口腔护理,艾滋病毒口腔护理,艾滋病毒口腔健康,艾滋病口腔护理,艾滋病口腔表现,艾滋病患者的口腔护理。结果:在HIV文献中观察到至少24种不同的口腔病变,但其中只有10种是一致的,这些是口腔念珠菌病,口腔毛状白斑,单纯疱疹病毒感染,患病率呈下降趋势。据报道,口腔念珠菌病在不同国家最常见,包括在接受抗逆转录病毒治疗的群体中进行的研究。这些病变可能是细菌、病毒、真菌、肿瘤过程和病因不明的病变,以及可能加重的牙周表现。结论:抗逆转录病毒治疗通过攻击HIV病毒复制来提高免疫能力,根据世界卫生组织的指南,现在建议所有感染HIV的成人、青少年和患有口咽念珠菌病的儿童立即开始抗逆转录病毒治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral conditions in HIV patients
OBJECTIVE: It is estimated that almost 38 million people are currently living with HIV, with more than a third presenting oral manifestations. The high degree of immunological weakness of these patients has a huge impact on their quality of life and can be seen clinically in the oral cavity. METHODS: The present study sought to evaluate the oral manifestations most due to HIV infection. This study had as methodology, the active search for information in the databases of the Medline, Lilacs, SciELO, Embase and Cochrane. It was sought to carry out the bibliographic research on the two central themes of this work: buccal manifestations and hiv, mouth care in hiv patients, oral care hiv, oral health in hiv, Aids oral care, Aids oral manifestations, mouth care in Aids patients. RESULTS: It was observed at least 24 different oral lesions reported in the HIV literature, but only ten of them are found consistently, and these, in decreasing prevalence, are oral candidiasis, oral hairy leukoplakia, herpes simplex virus infection. Oral candidiasis was reported as the most commonly found in different countries, including studies in groups that performed antiretroviral therapy. Such lesions may be of bacterial, viral, fungal origin, neoplastic processes and lesions of unknown etiology, as well as periodontal manifestations, which may be aggravated. CONCLSUION: Antiretroviral therapy improves immune competence by attacking HIV viral replication and its immediate start is now recommended for all HIV-infected adults, adolescents and children with oropharyngeal candidiasis according to the guidelines of the World Health Organization.
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