Appraisal of oral lesions status of HIV/AIDS patients in South Western Uganda

  • Ezera Agwu
  • John Cletus Ihongbe
  • Jackson Francis Tirwomwe
  • Victoria Pazos
  • Michael Tirwomwe
  • Luis Casadesus
Keywords: Oral lesions, HIV/AIDS, Uganda

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.

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Author Biographies

Ezera Agwu
MSc, PhD, Student, Lecturer and Head, Department of Medical Microbiology
John Cletus Ihongbe
BSc, PhD, Associate Professor, Department of Medical Laboratory Sciences, Faculty of Basic Medical Sciences, College of Medicine, Ambrose Alli University
Jackson Francis Tirwomwe
BDS, DPD, Senior Lecturer and Head, Department of Dentistry
Victoria Pazos
BSc, PhD, Professor, Department of Medical Microbiology
Michael Tirwomwe
BSc, Teaching Assistant, Department of Biochemistry
Luis Casadesus
BSc, MSc, Professor, Department of Medical Microbiology School of Health Sciences, Kampala International University, Western Campus, Bushenyi
Published
2016-01-08
How to Cite
Agwu, E., Ihongbe, J. C., Tirwomwe, J. F., Pazos, V., Tirwomwe, M., & Casadesus, L. (2016). Appraisal of oral lesions status of HIV/AIDS patients in South Western Uganda. Brazilian Journal of Oral Sciences, 7(26), 1591-1595. https://doi.org/10.20396/bjos.v7i26.8642673
Section
Article