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亚洲地区人类免疫缺陷病毒/获得性免疫缺陷综合征的口腔表现:系统评价与未来研究指南

Oral manifestations of HIV/AIDS in Asia: Systematic review and future research guidelines.

作者信息

Sharma Gaurav, Oberoi Sukhvinder-Singh, Vohra Puneeta, Nagpal Archna

机构信息

Reader, Department of Oral Medicine, S.R. Dental College, Faridabad, Haryana, India-121002.

Reader, Department of Public Health Dentistry, S.R. Dental College, Faridabad, Haryana, India-121002.

出版信息

J Clin Exp Dent. 2015 Jul 1;7(3):e419-27. doi: 10.4317/jced.52127. eCollection 2015 Jul.

Abstract

OBJECTIVES

The authors have conducted a systematic review of oral manifestations of HIV from studies conducted in Asia to establish the characteristics and prevalence of individual oral manifestations in Asia, and to assess the direction of future research studies on oral manifestations of HIV in Asia.

MATERIAL AND METHODS

The electronic retrieval systems and databases searched for relevant articles were PubMed [MEDLINE], EBSCO, and EMBASE. The search was for limited articles published in English or with an English abstract and articles published during the period January 1995 to August 2014. The authors reached a final overall sample of 39 studies that were conducted in Asia.

RESULTS

The median population size among all studies was 312.7 patients. Oral candidiasis [OC] was the most common oral manifestation [37.7%] in studies conducted in Asia. The overall prevalence of oral hairy leukoplakia and melanotic hyperpigmentation was computed to be 10.1% and 22.8% respectively. Thailand and India are primarily countries with maximum research on oral manifestations.

CONCLUSIONS

The research on oral manifestations of HIV in Asia has to upgrade to more interventional and therapeutic studies rather than the contemporary cross- sectional epidemiological descriptive studies. The authors have given suggestions and future directions for the implementation of clinical research of oral manifestations in HIV patients. Key words:Oral manifestations, HIV/AIDS, Asia, Systematic review.

摘要

目的

作者对在亚洲开展的关于HIV口腔表现的研究进行了系统综述,以确定亚洲个体口腔表现的特征和患病率,并评估亚洲未来关于HIV口腔表现研究的方向。

材料与方法

检索的电子检索系统和数据库包括PubMed[医学索引在线]、EBSCO和EMBASE。检索范围为1995年1月至2014年8月期间发表的英文或带有英文摘要的有限文章。作者最终确定了39项在亚洲开展的研究作为总体样本。

结果

所有研究中的患者数量中位数为312.7例。口腔念珠菌病[OC]是亚洲开展的研究中最常见的口腔表现[37.7%]。口腔毛状白斑和黑色素沉着过度的总体患病率分别计算为10.1%和22.8%。泰国和印度是对口腔表现研究最多的主要国家。

结论

亚洲关于HIV口腔表现的研究必须升级为更多的干预性和治疗性研究,而不是目前的横断面流行病学描述性研究。作者为HIV患者口腔表现的临床研究实施提出了建议和未来方向。关键词:口腔表现、HIV/AIDS、亚洲、系统综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dccc/4554245/848c0768ed3c/jced-7-e419-g001.jpg

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