大流行
医学
流行病学
2019年冠状病毒病(COVID-19)
人口
冠状病毒
人类免疫缺陷病毒(HIV)
重症监护医学
疾病
免疫学
病毒学
环境卫生
传染病(医学专业)
内科学
作者
Jacob Brolly,David Chadwick
出处
期刊:British Medical Bulletin
[Oxford University Press]
日期:2023-06-13
摘要
Coronavirus disease 2019 (COVID-19) and human immunodeficiency virus (HIV) are intersecting pandemics, with implications for care at an individual and global scale.PubMed search with relevant articles and their references reviewed.COVID-19 has changed the delivery of care to people living with HIV (PLWH). Vaccines are efficacious and safe for PLWH; patient care for symptomatic COVID-19 is similar to that of people without HIV.It remains unclear whether PLWH experience increased COVID-19-specific mortality. Treatments to reduce severity in early COVID-19 infection lack evidence in PLWH.The effects of the COVID-19 pandemic on HIV-related morbidity and mortality are yet to be seen. COVID-19 epidemiology among PLWH is complicated by changes to the severe acute respiratory syndrome coronavirus 2, population behaviours and vaccine availability.Global trends in HIV-related morbidity and mortality should be monitored to appreciate the effects of the COVID-19 pandemic. The benefits of early antiviral and/or neutralizing monoclonal antibody (nMAb) treatment for PLWH and nMAb prophylaxis require investigation.
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