163071 Orodental conditions of pediatric patients with HIV/AIDS in Baja California Mexico

Wednesday, November 7, 2007

Anitza Domínguez-Sánchez , Facultad de Odontología Mexicali, Universidad Autonoma de Baja California Mexico, Mexicali Baja California, Mexico
Roberto Verdugo-Diaz , Facultad de Odontología Mexicali, Universidad autonoma de Baja California, Mexicali Baja California, Mexico
Hector Meraz-Acosta , Facultad de Odontología Mexicali, Universidad Autonoma de Baja California Mexico, Mexicali Baja California, Micronesia
Ana M. Valles-Medina , Facultad de Medicina Tijuana, Universidad Autonoma de Baja California Mexico, Tijuana Baja california, Moldova
Alberto Zamudio-Gomez , Facultad de Odontologia Tijuana, Universidad Autonoma de Baja California Mexico, Tijuana Baja california, Mexico
Graciano Lopez-Espinoza , Hospital General Tijuana, Tijuana Baja california, Mexico
Introduction: The border state of Baja California, Mexico, occupies sixth place in reported cases of HIV/AIDS. This study intends to identify the orodental conditions of pediatric patients, as they are the most vulnerable population. This information could be considered by healthcare workers to develop new policies for opportune notification. Methodology: A cross-sectional clinical study was carried out in 52 pediatric patients registered in the Department of Epidemiology of Baja California's Health Department, diagnosed with HIV/AIDS before the age of 12 by August 2006. A survey including sociodemographic variables and family personal pathological history was administered. In a calibrated manner, in accordance with WHO guidelines, an intraoral (teeth and mucous membranes) and extraoral (lymph nodes, eyes, nose, neck) exam was performed. When oral manifestations of HIV/AIDS were identified, a smear was obtained. Results: Of 29 patients examined, the mean age was 6.2±4.5 years, 55% male, 31% report hospitalization for tuberculosis or pneumonia, 62% had decayed teeth with a Mean of Caries Index of 5.8±4.9. 9% had lesions of the oral mucous membranes. 56% of patients were diagnosed for oral candidiasis, 33% with linear gingival erythema, 11% with angular cheilitis. Conclusions: The lesions encountered in teeth showed no significant differences when compared to the general population, but lesions of mucous membranes were intimately associated with the disease. If the healthcare professionals learn to identify these lesions opportunately it would contribute to better control of HIV/AIDS.

Learning Objectives:
1. Sensitize healthcare professionals to the importance of pertinent detection of oral lesions associated with HIV/AIDS and opportune reporting. 2. Make decision makers aware of the importance of oral healthcare professionals’ role in the prevention and control of HIV/AIDS.

Keywords: Children's Health, HIV/AIDS

Presenting author's disclosure statement:

Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Universidad Autonoma de Baja California Dental School Employment (includes retainer)

Any company-sponsored training? Yes
Did the company pay your travel and lodging? Yes
Were you provide you with slides as part of the training sessions? Yes
Did you receive an honorarium or consulting fee for participating in the training? Yes
Any institutionally-contracted trials related to this submission? Yes
Have you received salary support, retainer, or other monies to support your position as part of the research/clinical trials? Yes
Have you served as the Principal Investigator) for the research/clinical trials? Yes
Have the results of your research/clinical trials been published? Yes

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.