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10.1371/journal.pone.0254994

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suck abstract from ncbi


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pmid34288954      PLoS+One 2021 ; 16 (7): e0254994
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  • SARS-CoV-2 percent positivity and risk factors among people with HIV at an urban academic medical center #MMPMID34288954
  • Friedman EE; Devlin SA; McNulty MC; Ridgway JP
  • PLoS One 2021[]; 16 (7): e0254994 PMID34288954show ga
  • Since the onset of the COVID-19 pandemic, it has been unclear how vulnerable people with HIV (PwH) are to SARS-CoV-2 infection. We sought to determine if PwH are more likely to test positive for SARS-CoV-2 than people without HIV, and to identify risk factors associated with SARS-CoV-2 positivity among PwH. We conducted a cross-sectional study in which we collected electronic medical record data for all patients who underwent SARS-CoV-2 PCR testing at an academic medical center. Presence of HIV and other chronic diseases were based on the presence of ICD-10 diagnosis codes. We calculated the percent positivity for SARS-CoV-2 among PwH and among people without HIV. Among PwH, we compared demographic factors, comorbidities, HIV viral load, CD4 T-cell count, and antiretroviral therapy (ART) regimens between those who tested positive for SARS-CoV-2 and those who tested negative. Comparisons were made using chi squared tests or Wilcoxon rank sum tests. Multivariate models were created using logistic regression. Among 69,763 people tested for SARS-CoV-2, 0.6% (431) were PwH. PwH were not significantly more likely to test positive for SARS-CoV-2 than people without HIV (7.2% (31/431) vs 8.4% (5820/69763), p = 0.35), but were more likely to be younger, Black, and male (p-values < .0001). There were no significant differences in HIV clinical factors, chronic diseases, or ART regimens among PwH testing positive for SARS-CoV-2 versus those testing negative. In our sample, PwH were not more likely to contract SARS-CoV-2, despite being more likely to be members of demographic groups known to be at higher risk for infection. Differences between PwH who tested positive for SARS-CoV-2 and those who tested negative were only seen in Hispanic/Latino ethnicity (non-Hispanic or Latino vs unknown Hispanic or Latino ethnicity (OR 0.2 95% CI (0.6, 0.9)) and site of testing(inpatient vs outpatient OR 3.1 95% CI (1.3, 7.4)).
  • |Academic Medical Centers/*statistics & numerical data[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Anti-HIV Agents/therapeutic use[MESH]
  • |COVID-19/complications/epidemiology[MESH]
  • |Cities/statistics & numerical data[MESH]
  • |Comorbidity[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Demography[MESH]
  • |Female[MESH]
  • |HIV Infections/complications/drug therapy/epidemiology/*virology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Risk Factors[MESH]


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