HIV does not increase risk for COVID-19 hospitalization

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Sumary of HIV does not increase risk for COVID-19 hospitalization:

  • Among people with HIV and COVID-19, researchers linked noncommunicable comorbidities, such as diabetes and cardiovascular disease, as opposed to HIV alone, with an increased risk for hospitalization, according to a study presented at IDWeek..
  • Virata, MD, FACP, assistant professor of medicine at Yale University School of Medicine, and colleagues assessed patients with HIV who were diagnosed with COVID-19 and received care at a single academic HIV ambulatory center from March to July 2020..
  • For the study cohort overall, the average length of time that patients lived with HIV was 14 years, which was only slightly lower than the average of 15 years for patients who were hospitalized because of COVID-19..
  • Additionally, there were no significant differences in prescription of ART, median CD4 count and percentage of those with a suppressed viral load of less than 200 copies/mL between all study patients and those who were hospitalized..
  • Comorbid conditions were common among all patients in the study cohort, including hypertension (50%), underlying chronic lung disease (39.6%), cardiovascular disease (39.6%), obesity (45.8%), chronic kidney disease (22.9%) and diabetes (29.2%), with approximately two-thirds having more than one comorbidity, according to Virata..
  • Furthermore, with regard to HIV markers, patients in this study maintained excellent viral suppression but did suffer decline in CD4 counts because of the acute illness and its effects on lymphocyte counts, Virata noted..
  • Patients’ antiretroviral regimens were continued without switching to other drug classes, such as protease inhibitors, that were initially recommended as part of treatment algorithms…

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