title: Oral lesions, HIV phenotypes, and management of HIV-related disease: Workshop 4A.
abstract: The workshop considered 5 questions related to oral lesions, HIV phenotypes, and the management of HIV-related disease, with a focus on evidence and challenges in resource-poor settings. First, are oral lesions unique with respect to geographic location or phenotype? Second, how useful would an oral lesion index be to predict HIV in resource-poor countries with no access to CD4 counts or viral load? Third, what are the latest methods and delivery modes for drugs used to treat oral lesions associated with HIV? Fourth, what is the role of the oral health care worker in rapid diagnostic testing for HIV? Fifth, what ethical and legal issues are to be considered when managing the HIV patient? The consensus of the workshop was the need for additional research in 4 key areas in developing countries: (1) additional investigation of comorbidities associated with HIV infection that may affect oral lesion presentation and distribution, especially in pediatric populations; (2) the development of region-specific algorithms involving HIV oral lesions, indicating cumulative risk of immune suppression and the presence of HIV disease; (3) well-designed clinical trials to test new therapies for oral lesions, new treatments for resistant oral fungal and viral diseases, effectiveness of therapies in children, and new drug delivery systems; and (4) the role of the oral health care worker in rapid diagnostic testing for HIV in various regions of the world.
authors: Department of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill, North Carolina, USA. Lauren_Patton@dentistry.unc.edu
authors: L L
authors: LL
authors: Patton
authors: K
authors: K
authors: Ranganathan
authors: S
authors: S
authors: Naidoo
authors: A
authors: A
authors: Bhayat
authors: S
authors: S
authors: Balasundaram
authors: O
authors: O
authors: Adeyemi
authors: O
authors: O
authors: Taiwo
authors: D J
authors: DJ
authors: Speicher
authors: L
authors: L
authors: Chandra
mesh_terms: D017028:Caregivers / Q000941:ethics; D017742:Dental Care for Chronically Ill / Q000941:ethics; D003906:Developing Countries; D018562:Disease Transmission, Infectious / Q000517:prevention & control; D016503:Drug Delivery Systems; D017144:Focus Groups; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D015497:HIV-1 / Q000145:classification / Q000235:genetics*; D015498:HIV-2 / Q000145:classification / Q000235:genetics; D006295:Health Resources; D006801:Humans; D007258:Informed Consent; D017720:Molecular Epidemiology; D009059:Mouth Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009061:Mouth Mucosa / Q000473:pathology* / Q000821:virology; D010641:Phenotype; D016312:Treatment Refusal