A randomized clinical trial of chlorhexidine in the maintenance of oral candidiasis-free period in HIV infection

作者: W Nittayananta , TA DeRouen , P Arirachakaran , T Laothumthut , K Pangsomboon

DOI: 10.1111/J.1601-0825.2008.01449.X

关键词:

摘要: Objective:  To determine if chlorhexidine can be used as an intervention to prolong the time relapse of oral candidiasis. Subjects and methods:  A double-blinded randomized clinical trial was performed in 75 HIV/AIDS subjects with candidiasis. Clotrimazole troche prescribed, were re-examined every 2 weeks until lesions completely eradicated. The then randomly divided into two groups; 0.12% (n = 37, aged 22–52 years, mean 34 years) 0.9% normal saline (n = 38, 22–55 years, 38 years). They next episode observed. Results:  recurrence candidiasis between group not statistically significant (P > 0.05). following variables significantly associated recurrence; frequency antifungal therapy (P = 0.011), total lymphocyte (P = 0.017), alcohol consumption (P = 0.043), on gingiva (P = 0.048). lower showed shorter candidiasis-free periods (P = 0.034). Conclusions:  Chlorhexidine a small but effect maintenance period. This lack significance may due sample size. Further study should better assess size effect, or confirm our findings.

参考文章(31)
Pizzo G, Giuliana G, Antifungal activity of chlorhexidine containing mouthrinses. An in vitro study. Minerva stomatologica. ,vol. 47, pp. 665- ,(1998)
Ferretti Ga, Brown At, Largent Ba, Lillich Tt, Chemical control of plaque-dependent oral diseases: the use of chlorhexidine. Compendium (Newtown, Pa.). ,vol. 7, pp. 719- ,(1986)
S Şenel, GÜLCAN İkinci, S Kaş, A Yousefi-Rad, MF Sargon, AA Hıncal, None, Chitosan films and hydrogels of chlorhexidine gluconate for oral mucosal delivery. International Journal of Pharmaceutics. ,vol. 193, pp. 197- 203 ,(2000) , 10.1016/S0378-5173(99)00334-8
Andrei Barasch, Monika M Safford, Ingrida Dapkute-Marcus, Daniel H Fine, Efficacy of chlorhexidine gluconate rinse for treatment and prevention of oral candidiasis in HIV-infected children: a pilot study. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 97, pp. 204- 207 ,(2004) , 10.1016/J.TRIPLEO.2003.09.005
R. P. Ellen, I. B. Balcerzak-Raczkowski, Interbacterial aggregation of Actinomyces naeslundii and dental plaque streptococci. Journal of Periodontal Research. ,vol. 12, pp. 11- 20 ,(1977) , 10.1111/J.1600-0765.1977.TB00104.X
Arjuna N.B Ellepola, L.P Samaranayake, Adhesion of oral Candida albicans isolates to denture acrylic following limited exposure to antifungal agents Archives of Oral Biology. ,vol. 43, pp. 999- 1007 ,(1998) , 10.1016/S0003-9969(98)00075-2
G. Rölla, B. Melsen, On the Mechanism of the Plaque Inhibition by Chlorhexidine Journal of Dental Research. ,vol. 54, pp. 57- 62 ,(1975) , 10.1177/00220345750540022601
A Arikan, Y Kulak, T Kadir, None, Comparison of different treatment methods for localized and generalized simple denture stomatitis Journal of Oral Rehabilitation. ,vol. 22, pp. 365- 369 ,(1995) , 10.1111/J.1365-2842.1995.TB00786.X
L. G. Hjeljord, G. Rolla, P. Bonesvoll, Chlorhexidine-protein interactions. Journal of Periodontal Research. ,vol. 8, pp. 11- 16 ,(1973) , 10.1111/J.1600-0765.1973.TB02158.X
Yasemin Kulak, Ayla Arikan, Nesrin Delibalta, Comparison of three different treatment methods for generalized denture stomatitis The Journal of Prosthetic Dentistry. ,vol. 72, pp. 283- 288 ,(1994) , 10.1016/0022-3913(94)90341-7