Efficacy of chlorhexidine gluconate rinse for treatment and prevention of oral candidiasis in HIV-infected children: a pilot study.

作者: Andrei Barasch , Monika M Safford , Ingrida Dapkute-Marcus , Daniel H Fine

DOI: 10.1016/J.TRIPLEO.2003.09.005

关键词: Acquired immunodeficiency syndrome (AIDS)ChlorhexidineMycosisSidaDentistryMedicineImmunopathologyInternal medicineCross-sectional studyViral diseaseAntiseptic

摘要: Abstract Purpose We evaluated the effect of chlorhexidine (CHX) 0.12% rinses on clinical and microbiologic manifestations oral candidiasis in HIV-infected children. Study design This was a cross-sectional, intervention study 38 HIV-positive Inclusion based examination positive culture for Candida . At baseline, subjects with no lesions but who were culture-positive (N = 9) placed preventive therapy CHX q.d. 90 days. Subjects therapeutic b.i.d. All received exams at monthly intervals. days mucosal samples again taken Colony-forming units (CFU) determined before after treatment. Results Of 18 subjects, 12 included CFU analyses. After 3 months rinse therapy, undetectable children; another 8 showed an average 2-fold reduction CFU. In 1 child number increased modestly. Overall, pre- posttreatment mean 6.18 ± 2.19 2.73 3.15, respectively ( P .009). Five patients including all had pseudomembranous candidiasis, free signs disease end study. Conclusions suggests that topical disinfectant may be promising agent treating preventing

参考文章(22)
L Ketchem, R J Berkowitz, T Rakusan, L McIlveen, D Forrester, Oral findings in HIV-seropositive children. Pediatric Dentistry. ,vol. 12, pp. 143- 146 ,(1990)
Ron D. Hays, Loren G. Miller, Adherence to combination antiretroviral therapy: synthesis of the literature and clinical implications. Aids Reader. ,vol. 10, pp. 177- 185 ,(2000)
Ron D. Hays, Loren G. Miller, Adherence to Combination Antiretroviral Therapy SCP/Cliggott Communications. ,(2000)
Monika M. Safford, Frank A. Catalanotto, Andrei Barasch, Ralph V. Katz, Daniel H. Fine, Oral soft tissue manifestations in HIV-positive vs. HIV-negative children from an inner city population: a two-year observational study. Pediatric Dentistry. ,vol. 22, pp. 215- 220 ,(2000)
Flanagan Ma, Fine D, Houpt M, Koenigsberg, Barasch A, Prevalence of oral soft tissue lesions in HIV-infected minority children treated with highly active antiretroviral therapies. Pediatric Dentistry. ,vol. 22, pp. 287- ,(2000)
R Le Guennec, J Reynes, M Mallié, C Pujol, F Janbon, J M Bastide, Fluconazole- and itraconazole-resistant Candida albicans strains from AIDS patients: multilocus enzyme electrophoresis analysis and antifungal susceptibilities. Journal of Clinical Microbiology. ,vol. 33, pp. 2732- 2737 ,(1995) , 10.1128/JCM.33.10.2732-2737.1995
C. Scully, M. EI-Kabir, Lakshman P. Samaranayake, Candida and Oral Candidosis: A Review Critical Reviews in Oral Biology & Medicine. ,vol. 5, pp. 125- 157 ,(1994) , 10.1177/10454411940050020101
Steven L Kelly, David C Lamb, Diane E Kelly, Juergen Loeffler, Heremann Einsele, Resistance to fluconazole and amphotericin in Candida albicans from AIDS patients The Lancet. ,vol. 348, pp. 1523- 1524 ,(1996) , 10.1016/S0140-6736(05)65949-1
Michael E. Klepser, Erika J. Ernst, Michael A. Pfaller, Update on antifungal resistance Trends in Microbiology. ,vol. 5, pp. 372- 375 ,(1997) , 10.1016/S0966-842X(97)01108-6
L.P. Samaranayake, T.W. MacFarlane, A retrospective study of patients with recurrent chronic atrophic candidosis Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 52, pp. 150- 153 ,(1981) , 10.1016/0030-4220(81)90312-1