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Abstract
Objetivo: determinar la frecuencia de las lesiones orales que se presentaron en los pacientes con VIH/sida que asistieron a la Unidad de Infectología del Hospital Universitario San Ignacio en Bogotá, Colombia, en el periodo 2005-2010. Métodos: se realizó un estudio observacional descriptivo con una muestra de 180 de un total de 1600 historias clínicas. Los criterios de inclusión fueron historias clínicas de pacientes con VIH/sida mayores de 18 años de edad. Se excluyeron las historias clínicas de pacientes que no presentaban los resultados del conteo de linfocitos T CD4+. Los hallazgos se analizaron descriptivamente por medio de distribuciones de frecuencia y promedios. Resultados: la frecuencia general de lesiones orales fue del 47,8 %. La lesión oral más frecuente fue la candidiasis seudomembranosa (12,8 %), seguida por leucoplasia vellosa (5 %) y herpes simple (4,4 %). En el análisis la presencia de lesiones orales se asoció un conteo promedio de linfocitos T CD4+ de 135 células/mm3. Conclusiones: las lesiones orales más frecuentes fueron candidiasis oral seudomembranosa, leucoplasia vellosa y herpes simple. La disminución de células T CD4+ se asocia con la aparición de lesiones orales.
Objective: To determine the frequency of mouth diseases in HIV/aids patients attending the Infectious Disease Unit of the San Ignacio University Hospital in Bogota, Colombia, during 2005-2010. Methods: A descriptive study with a sample of 180 out of 1600 clinical records was carried out. Criterion for inclusion in the study was patients 18 years of age. Records without T-lymphocyte (CD4) count were excluded. Data were analyzed descriptively through frequency distribution and averages measures. Results: Mouth diseases were reported in 47.8 % of the records. The most common lesion was pseudomembranous candidiasis (12.8 %), followed by hairy leukoplakia (5 %) and herpes simplex (4.4 %). Mouth diseases were associated with an average CD4 count of 135/mm3. Conclusion: Oral pseudomembranous candidiasis, hairy leukoplakia and herpes simplex were the most frequent disease. A decrease in CD4 cell count is associated with mouth diseases.
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