艾滋病毒感染者与未感染者之间的SARS-CoV-2感染和影响因素的差异
Jianhui Yang1, Esben Strodl2, Dandan Zhang1
1Ningbo Municipal Centre for Disease Control and Prevention, 1166 Fanjiang'an Road, Haishu District, Ningbo City, 315016, Zhejiang Province, PRC, China.
BMC public health
|January 30, 2025
概括
艾滋病毒感染者 (PLWH) 感染SARS-CoV-2的风险较低,但长期出现COVID-19症状的风险更高. 抗逆转录病毒疗法 (ART) 增加了PLWH患者的SARS-CoV-2感染风险,而疫苗则减少了HIV阴性个体的长期症状.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 免疫学 免疫学 免疫学
背景情况:
- 关于艾滋病毒状况和COVID-19风险的研究结果各不相同.
- 这项研究调查了中国的HIV感染特征和COVID-19风险.
研究的目的:
- 估计艾滋病毒感染特征与COVID-19风险之间的关联.
- 为了比较PLWH和HIV阴性个体之间的SARS-CoV-2感染和延长的核酸转化时间.
主要方法:
- 在中国宁波,对1995名艾滋病毒感染者 (PLWH) 和3503名艾滋病毒阴性成年人的横截面调查.
- 与SARS-CoV-2感染流行率和长时间核酸转化时间的比较.
- 探索SARS-CoV-2感染和延长转化时间的风险因素.
主要成果:
- PLWH的SARS-CoV-2感染率 (74.4%) 比HIV阴性个体 (81.8%) 低.
- PLWH显示核酸转化时间延长的风险较高 (29.4%与22.7%相比).
- 在PLWH中,ART使用增加了SARS-CoV-2感染风险;在HIV阴性个体中,COVID-19疫苗接种减少了长期转化时间.
结论:
- 艾滋病毒状况与SARS-CoV-2感染和延长转化时间有显著的关联.
- 在PLWH中需要对ART和COVID-19疫苗的影响进行进一步的研究.
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