Smoking as a risk factor for oral candidiasis in HIV-infected adults.

作者: Amit Chattopadhyay , Lauren L Patton

DOI: 10.1111/JOP.12019

关键词: Rate ratioMedical recordRegression analysisPoisson regressionInternal medicineRisk factorSurgeryCumulative incidenceConfoundingLogistic regressionMedicine

摘要: OBJECTIVE: We aimed to examine if smoking is an independent predictor of oral candidiasis (OC) among HIV-1 infected persons. METHODS: The cross-sectional part this study evaluated 631 adult dentate seropositive persons examined for OC from 1995–2000 at the University North Carolina Hospitals in Chapel Hill, NC. In second part, above sample, a total 283 individuals who were free HIV-associated diseases baseline followed up 2 years assess incident events. Data collected medical record review, interview questionnaires, and clinical examinations analyzed using chi-squared tests t-tests. Logistic regression models developed prevalent employing likelihood ratio test, whereas Poisson assessing cumulative incidence OC. These included variety variables adjust confounding. RESULTS: Thirteen percent participants had only; 4.6% with Oral Hairy Leukoplakia; 69.7% neither. Smoking was associated all [prevalent – current smokers: logistic Odd (95% CI) = 2.5 (1.3, 4.8); Incident (main effects model) Incidence rate 1.9 (1.1, 3.8)]. Other suggested evidence effect modification between CD4 cell count by smoking. CONCLUSION: risk factor development persons, modified which measures strength immune system.

参考文章(35)
O. N. Obuekwe, A. N. Onunu, Gender and oral manifestations of HIV infection among adult Nigerians. African Journal of Reproductive Health. ,vol. 10, pp. 81- 99 ,(2006) , 10.2307/30032461
Yun-Liang Yang, Hsiu-Jung Lo, Chien-Ching Hung, Yichun Li, Effect of prolonged HAART on oral colonization with Candida and candidiasis BMC Infectious Diseases. ,vol. 6, pp. 8- 8 ,(2006) , 10.1186/1471-2334-6-8
Jolán Bánóczy, Zeno Gintner, Csaba Dombi, Tobacco use and oral leukoplakia Journal of Dental Education. ,vol. 65, pp. 322- 327 ,(2001) , 10.1002/J.0022-0337.2001.65.4.TB03402.X
Chang-Ta Chiu, Chien-Feng Li, Jau-Rong Li, Johnny Wang, Ching-Ya Chuang, Wei-Fan Chiang, Shan-Chen Huang, Sung-Wen Chang, Candida invasion and influences in smoking patients with multiple oral leucoplakias--a retrospective study. Mycoses. ,vol. 54, ,(2011) , 10.1111/J.1439-0507.2010.01927.X
Fernanda Brasil Baboni, Dayton Barp, Ana Claudia Santos de Azevedo Izidoro, Lakshman Perera Samaranayake, Edvaldo Antonio Ribeiro Rosa, Enhancement of Candida albicans virulence after exposition to cigarette mainstream smoke. Mycopathologia. ,vol. 168, pp. 227- 235 ,(2009) , 10.1007/S11046-009-9217-5
Giuseppina Campisi, Giuseppe Pizzo, Maria E. Milici, Salvatrice Mancuso, Valerio Margiotta, Candidal carriage in the oral cavity of human immunodeficiency virus–infected subjects Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 93, pp. 281- 286 ,(2002) , 10.1067/MOE.2002.120804
I. Brook, The Impact of Smoking on Oral and Nasopharyngeal Bacterial Flora Journal of Dental Research. ,vol. 90, pp. 704- 710 ,(2011) , 10.1177/0022034510391794
HY Sroussi, D Villines, J Epstein, MCF Alves, MEAF Alves, Oral lesions in HIV-positive dental patients--one more argument for tobacco smoking cessation. Oral Diseases. ,vol. 13, pp. 324- 328 ,(2007) , 10.1111/J.1601-0825.2006.01289.X
W. Nittayananta, N. Chanowanna, T. Winn, Mode of HIV transmission associated with risk of oral lesions in HIV-infected subjects in Thailand Journal of Oral Pathology & Medicine. ,vol. 39, pp. 195- 200 ,(2010) , 10.1111/J.1600-0714.2009.00839.X