RESEARCH PAPER
Prevalence and factors associated with xerostomia in patients hospitalized due AIDS-related complications
More details
Hide details
1
Universidade Federal do Paraná – UFPR, Brazil
Submission date: 2022-01-17
Final revision date: 2022-06-23
Acceptance date: 2022-07-01
Online publication date: 2024-10-30
Corresponding author
Antonio A. S. D. Lima
Universidade Federal do Paraná – UFPR,
Rua Prefeito Lothário Meissner 632 campus jardim botânico 80210-170 Curitiba/PR, Brazil, e-mail: antollima@hotmail.com
HIV & AIDS Review 2024;23(4):290-296
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Xerostomia is a subjective sensation of dry mouth due to lack of saliva. The objective of this study was to investigate the prevalence and factors associated with the presence of hypo-salivation and xerostomia complaint in patients with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS)-related complications.
Material and methods:
One hundred and two adult subjects were divided into two groups (51 HIV-infected patients and 51 controls). Initially, subjects underwent oral examination and anamnesis. Afterwards, stimulated salivary flow and a questionnaire to evaluate the prevalence and intensity of xerostomia symptoms were utilized.
Results:
The mean salivary flow was significantly lower in HIV-positive individuals compared with controls. Twenty-five (49%) patients with HIV infection experienced low salivary flow. The complaint of xerostomia was reported by 30 (59%) patients and 9 (18%) controls. The sensation of discomfort in the mouth, and difficulty in talking and eating had greater records of moderate to severe intensity in the case group. Of the total sample, 76% of individuals used antiretroviral therapy and other drugs capable of inducing hypo-salivation and, consequently, xerostomia.
Conclusions:
Based on the results, it can be concluded that the prevalence of xerostomia among hospitalized patients due to AIDS complications is high. This fact may be associated with low salivary flow and the use of various drugs, including antiretroviral drugs.
REFERENCES (37)
1.
Tanasiewicz M, Hildebrandt T, Obersztyn I. Xerostomia of various etiologies: a review of the literature. Adv Clin Exp Med 2016; 25: 199-206.
2.
Sreebny LM, Valdini A. Xerostomia. Part I: Relationship to other oral symptoms and salivary gland hypofunction. Oral Surg Oral Med Oral Pathol 1988; 66: 451-458.
3.
Vissink A, Panders AK, Gravenmade EJ, Vermey A. The causes and consequences of hyposalivation. Ear Nose Throat J 1988; 67: 166-176.
4.
Glass BJ, Van Dis ML, Langlais RP, Miles DA. Xerostomia: diagnosis and treatment planning considerations. Oral Surg Oral Med Oral Pathol 1984; 58: 248-252.
5.
Atkinson JC, Wu AJ. Salivary gland dysfunction: causes, symptoms, treatment. J Am Dent Assoc 1994; 125: 409-416.
6.
Wijers OB, Levendag PC, Braaksma MM, Boonzaaijer M, Visch LL, Schmitz PI. Patients with head and neck cancer cured by radiation therapy: a survey of the dry mouth syndrome in long-term survivors. Head Neck 2002; 24: 737-747.
7.
Sreebny LM, Schwartz SS. Reference guide to drugs and dry mouth. Oral Surg 1996; 5: 75-99.
8.
Millsop JW, Wang EA, Fazel N. Etiology, evaluation, and management of xerostomia. Clin Dermatol 2017; 35: 468-476.
9.
Meer S. Human immunodeficiency virus and salivary gland pathology: an update. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 128: 52-59.
10.
López-Verdín S, Andrade-Villanueva J, Zamora-Perez AL, Bologna-Molina R, Cervantes-Cabrera JJ, Molina-Frechero N. Differences in salivary flow level, xerostomia, and flavor alteration in mexican HIV patients who did or did not receive antiretroviral therapy. AIDS Res Treat 2013; 2013: 613278. DOI: 10.1155/2013/613278.
11.
Sharma G, Pai KM, Suhas S, Ramapuram JT, Doshi D, Anup N. Oral manifestations in HIV/AIDS infected patients from India. Oral Dis 2006; 12: 537-542.
12.
Nittayananta W, Chanowanna N, Jealae S, Nauntofte B, Stoltze K. Hyposalivation, xerostomia and oral health status of HIV-infected subjects in Thailand before HAART era. J Oral Pathol Med 2010; 39: 28-34.
13.
Navazesh M, Mulligan R, Barrón Y, Redford M, Greenspan D, Alves M, Phelan J; Women’s Interagency HIV Study participants. A 4-year longitudinal evaluation of xerostomia and salivary gland hypofunction in the Women’s Interagency HIV Study participants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 95: 693-698.
14.
Tschoppe P, Wolgin M, Pischon N, Kielbassa AM. Etiologic factors of hyposalivation and consequences for oral health. Quintessence Int 2010; 41: 321-333.
15.
Navazesh M. Methods for collecting saliva. Ann N Y Acad Sci 1993; 694: 72-77.
16.
Banderas-Tarabay JA, González-Begné M, Sánchez-Garduño M, Millán-Cortéz E, López-Rodríguez A, Vilchis-Velázquez A. The flow and concentration of proteins in human whole saliva. Salud Publica Mex 1997; 39: 433-441.
17.
Sreebny LM. Saliva in health and disease: an appraisal and update. Int Dent J 2000; 50: 140-161.
18.
Kaur M, Himadi E, Chi DL. Prevalence of xerostomia in an adolescent inpatient psychiatric clinic: a preliminary study. Spec Care Dentist 2016; 36: 60-65.
19.
López-Verdín S, Andrade-Villanueva J, Zamora-Perez AL, Bologna-Molina R, Cervantes-Cabrera JJ, Molina-Frechero N. Differences in salivary flow level, xerostomia, and flavor alteration in Mexican HIV patients who did or did not receive antiretroviral therapy. AIDS Res Treat 2013; 2013: 613278. DOI: 10.1155/2013/613278.
20.
Frimpong P, Amponsah EK, Abebrese J, Kim SM. Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana. J Korean Assoc Oral Maxillofac Surg 2017; 43: 29-36.
21.
Pakfetrat A, Falaki F, Delavarian Z, Dalirsani Z, Sanatkhani M, Zabihi Marani M. Oral manifestations of human immunodeficiency virus-infected patients. Iran J Otorhinolaryngol 2015; 27: 43-54.
22.
Satyakiran GV, Bavle RM, Alexander G, Rao S, Venugopal R, Hosthor SS. A relationship between CD4 count and oral manifestations of human immunodeficiency virus-infected patients on highly active antiretroviral therapy in urban population. J Oral Maxillofac Pathol 2016; 20: 419-426.
23.
Figueiredo-Mello C, Naucler P, Negra M, Levin AS. Prospective etiological investigation of community-acquired pulmonary infections in hospitalized people living with HIV. Medicine 2017, 96: e5778. DOI: 10.1097/MD.0000000000005778.
24.
Coelho LE, Escada ROS, Barbosa HPP, Santos VGV, Grinsztejn BGJ. O tratamento da coinfecção HIV-TB. BJID Educação Médica Continuada 2016; 2: 134-148.
25.
Mandel ID, Barr CE, Turgeon L. Longitudinal study of parotid saliva in HIV-1 infection. J Oral Pathol Med 1992; 21: 209-213.
26.
Sweet SP, Rahman D, Challacombe SJ. Serum and saliva immunoglobulin A concentrations show an inverse relationship in HIV infection and AIDS. AIDS 1995; 9: 1288-1289.
27.
Aps JK, Martens LC. Review: The physiology of saliva and transfer of drugs into saliva. Forensic Sci Int 2005; 150: 119-131.
28.
Lin AL, Johnson DA, Sims CA, Stephan KT, Yeh CK. Salivary gland function in HIV-infected patients treated with highly active antiretroviral therapy (HAART). Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102: 318-324.
29.
Liberali SA, Coates EA, Freeman AD, Logan RM, Jamieson L, Mejia G. Oral conditions and their social impact among HIV dental patients, 18 years on. Aust Dent J 2013; 58: 18-25.
30.
Dyasanoor S, Saddu SC. Association of xerostomia and assessment of salivary flow using modified schirmer test among smokers and healthy individuals: a preliminutesary study. J Clin Diagn Res 2014; 8: 211-213.
31.
Rad M, Kakoie S, Niliye Brojeni F, Pourdamghan N. Effect of long-term smoking on whole-mouth salivary flow rate and oral health. J Dent Res Dent Clin Dent Prospects 2010; 4: 110-114.
32.
Takahashi F, Takahashi M, Toya S, Morita O. Relationship between medicine and stimulated saliva and oral moisture. Nihon Hotetsu Shika Gakkai Zasshi 2008; 52: 537-542.
33.
Scelza MF, Silva Dde F, Ahiadzro NK, Da Silva LE, Scelza P. The influence of medication on salivary flow of the elderly: preliminary study. Gerodontology 2010; 27: 278-282.
34.
Wolff A, Joshi RK, Ekström J, Aframian D, Lynge Pedersen AM, Proctor G, et al. A guide to medications inducing salivary gland dysfunction, xerostomia, and subjective sialorrhea: a systematic review sponsored by the world workshop on oral medicine VI. Drugs R D 2017; 17: 1-28.
35.
Agbo-Godeau S, Guedj A, Marès S, Goudot P. Xerostomia. Presse Med 2017; 46: 296-302.
37.
Pedrazas CHS, Azevedo MNL, Torres SR. Manejo do paciente com hipossalivação. Revista Perio News 2007; 1: 369-373.