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| ORIGINAL ARTICLE |
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| Year : 2015 |
Volume
: 19 | Issue : 1 | Page
: 58-63 |
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Relationship of long-term highly active antiretroviral therapy on salivary flow rate and CD4 Count among HIV-infected patients
J Vijay Kumar1, P Venkat Baghirath1, P Parameswar Naishadham1, Sujai Suneetha2, Lavanya Suneetha2, P Sreedevi1
1 Department of Oral and Maxillofacial Pathology, Panineeya Institute of Dental Sciences and Research Centre, Dilsukhnagar, Hyderabad, Telangana, India
2 Research and Training, Nireekshana AIDS care Education and Training (ACET)? Hyderabad, Telangana, India
Correspondence Address:
Dr. J Vijay Kumar
Department of Oral and Maxillofacial Pathology, Panineeya Institute of Dental Sciences and Research Centre, Road No. 5, Kamalanagar, Dilsukhnagar, Hyderabad - 500 060, Telangana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0973-029X.157203
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Objectives: To determine if long-term highly active antiretroviral therapy (HAART) therapy alters salivary flow rate and also to compare its relation of CD4 count with unstimulated and stimulated whole saliva. Materials and Methods: A cross-sectional study was performed on 150 individuals divided into three groups. Group I (50 human immunodeficiency virus (HIV) seropositive patients, but not on HAART therapy), Group II (50 HIV-infected subjects and on HAART for less than 3 years called short-term HAART), Group III (50 HIV-infected subjects and on HAART for more than or equal to 3 years called long-term HAART). Spitting method proposed by Navazesh and Kumar was used for the measurement of unstimulated and stimulated salivary flow rate. Chi-square test and analysis of variance (ANOVA) were used for statistical analysis. Results: The mean CD4 count was 424.78 187.03, 497.82 206.11 and 537.6 264.00 in the respective groups. Majority of the patients in all the groups had a CD4 count between 401 and 600. Both unstimulated and stimulated whole salivary (UWS and SWS) flow rates in Group I was found to be significantly higher than in Group II (P < 0.05). Unstimulated salivary flow rate between Group II and III subjects were also found to be statistically significant (P < 0.05). ANOVA performed between CD4 count and unstimulated and stimulated whole saliva in each group demonstrated a statistically significant relationship in Group II (P < 0.05). There were no significant results found between CD4 count and stimulated whole saliva in each groups. Conclusion:The reduction in CD4 cell counts were significantly associated with salivary flow rates of HIV-infected individuals who are on long-term HAART. |
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