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Article: Association between carriage of oral yeasts, malnutrition and HIV-1 infection among Tanzanian children aged 18 months to 5 years

TitleAssociation between carriage of oral yeasts, malnutrition and HIV-1 infection among Tanzanian children aged 18 months to 5 years
Authors
Issue Date1997
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/COM
Citation
Community Dentistry And Oral Epidemiology, 1997, v. 25 n. 3, p. 193-198 How to Cite?
AbstractThe objective was to determine whether there is an association between carriage of oral yeasts, malnutrition and HIV-1 infection among Tanzanian children. A case-control study design within a cross-sectional study was used, and the outcome was carriage of oral yeasts. The exposure variables were malnutrition and HIV-1 antibody, and confounders to be adjusted for were age, sex, and breastfeeding. The study was carried out in Dar-es-Salaam, Tanzania, in two maternal and child health (MCH) clinics that offer routine medical checkups to all expectant mothers and children aged between 0 and 5 years in the catchment area. A total of 882 children aged between 18 months and 5 years participated. Smears from the tongue and buccal mucosa were examined for oral yeasts. Malnutrition was categorized according to standards on the MCH chart and World Health Organization/Centers for Disease Control (WHO/CDC) standards as weight-for-height (wasted), weight-for-age (underweight), and height-for-age (stunted). HIV-1 infection was determined by an enzyme-linked immunosorbent assay. Reactive sera were confirmed by Western Blot. About 27% of the children were slightly or severely malnourished according to standards on the MCH chart. According to WHO/CDC standards, 2.6% were wasted, 16.3% were underweight, and 29.6% were stunted. Fourteen (1.6%) were seropositive for HIV-1 antibody. Hyphal forms and blastospores were much more frequent among children infected with HIV-1 with odds ratios ranging from 3.8 (95% CI: 1.3;11.2) to 6.2 (95% CI: 2.1;18.4) depending on categorization of malnutrition. Malnutrition was a risk factor, too, albeit to a much lesser and insignificant degree. The study supports our previous findings that malnutrition may predispose to carriage of oral yeasts and subsequent infection. However, in this study population HIV infection was clearly the predominant risk factor.
Persistent Identifierhttp://hdl.handle.net/10722/153997
ISSN
2015 Impact Factor: 2.233
2015 SCImago Journal Rankings: 1.111
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorScheutz, Fen_US
dc.contributor.authorMatee, MIen_US
dc.contributor.authorSimon, Een_US
dc.contributor.authorMwinula, JHen_US
dc.contributor.authorLyamuya, EFen_US
dc.contributor.authorMsengi, AEen_US
dc.contributor.authorSamaranayake, LPen_US
dc.date.accessioned2012-08-08T08:22:44Z-
dc.date.available2012-08-08T08:22:44Z-
dc.date.issued1997en_US
dc.identifier.citationCommunity Dentistry And Oral Epidemiology, 1997, v. 25 n. 3, p. 193-198en_US
dc.identifier.issn0301-5661en_US
dc.identifier.urihttp://hdl.handle.net/10722/153997-
dc.description.abstractThe objective was to determine whether there is an association between carriage of oral yeasts, malnutrition and HIV-1 infection among Tanzanian children. A case-control study design within a cross-sectional study was used, and the outcome was carriage of oral yeasts. The exposure variables were malnutrition and HIV-1 antibody, and confounders to be adjusted for were age, sex, and breastfeeding. The study was carried out in Dar-es-Salaam, Tanzania, in two maternal and child health (MCH) clinics that offer routine medical checkups to all expectant mothers and children aged between 0 and 5 years in the catchment area. A total of 882 children aged between 18 months and 5 years participated. Smears from the tongue and buccal mucosa were examined for oral yeasts. Malnutrition was categorized according to standards on the MCH chart and World Health Organization/Centers for Disease Control (WHO/CDC) standards as weight-for-height (wasted), weight-for-age (underweight), and height-for-age (stunted). HIV-1 infection was determined by an enzyme-linked immunosorbent assay. Reactive sera were confirmed by Western Blot. About 27% of the children were slightly or severely malnourished according to standards on the MCH chart. According to WHO/CDC standards, 2.6% were wasted, 16.3% were underweight, and 29.6% were stunted. Fourteen (1.6%) were seropositive for HIV-1 antibody. Hyphal forms and blastospores were much more frequent among children infected with HIV-1 with odds ratios ranging from 3.8 (95% CI: 1.3;11.2) to 6.2 (95% CI: 2.1;18.4) depending on categorization of malnutrition. Malnutrition was a risk factor, too, albeit to a much lesser and insignificant degree. The study supports our previous findings that malnutrition may predispose to carriage of oral yeasts and subsequent infection. However, in this study population HIV infection was clearly the predominant risk factor.en_US
dc.languageengen_US
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/COMen_US
dc.relation.ispartofCommunity Dentistry and Oral Epidemiologyen_US
dc.subject.meshAids-Related Opportunistic Infections - Epidemiologyen_US
dc.subject.meshCandida - Isolation & Purificationen_US
dc.subject.meshCandidiasis, Oral - Epidemiology - Etiologyen_US
dc.subject.meshCarrier Stateen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshChild Nutrition Disorders - Complications - Microbiologyen_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshHiv Infections - Epidemiologyen_US
dc.subject.meshHiv Seropositivity - Diagnosisen_US
dc.subject.meshHiv-1 - Isolation & Purificationen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMouth Mucosa - Microbiologyen_US
dc.subject.meshNutrition Assessmenten_US
dc.subject.meshOdds Ratioen_US
dc.subject.meshProtein-Energy Malnutrition - Complicationsen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSpores, Fungal - Isolation & Purificationen_US
dc.subject.meshTanzania - Epidemiologyen_US
dc.titleAssociation between carriage of oral yeasts, malnutrition and HIV-1 infection among Tanzanian children aged 18 months to 5 yearsen_US
dc.typeArticleen_US
dc.identifier.emailSamaranayake, LP:lakshman@hku.hken_US
dc.identifier.authoritySamaranayake, LP=rp00023en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1600-0528.1997.tb00925.x-
dc.identifier.pmid9192146-
dc.identifier.scopuseid_2-s2.0-0031157458en_US
dc.identifier.hkuros23395-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031157458&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume25en_US
dc.identifier.issue3en_US
dc.identifier.spage193en_US
dc.identifier.epage198en_US
dc.identifier.isiWOS:A1997XE46700001-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridScheutz, F=7005543084en_US
dc.identifier.scopusauthoridMatee, MI=35577234100en_US
dc.identifier.scopusauthoridSimon, E=19235990400en_US
dc.identifier.scopusauthoridMwinula, JH=6506992226en_US
dc.identifier.scopusauthoridLyamuya, EF=7004124770en_US
dc.identifier.scopusauthoridMsengi, AE=6701668025en_US
dc.identifier.scopusauthoridSamaranayake, LP=7102761002en_US

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