The clinical and epidemiological characteristics of a series of patients living with HIV admitted for COVID-19 in a district hospital Article Swipe
Ayanda Trevor Mnguni
,
Denzil Schietekat
,
Nabilah Ebrahim
,
Nawhaal Sonday
,
Nicholas Boliter
,
Neshaad Schrueder
,
Shiraaz Gabriels
,
Lovemore Nyasha Sigwadhi
,
Annalise E. Zemlin
,
Zivanai C. Chapanduka
,
Veranyuy Ngah
,
Anteneh Yalew
,
Thumeka P. Jalavu
,
Ibtisam Abdullah
,
Jacques Lukenze Tamuzi
,
Yamanya Tembo
,
Mary‐Ann Davies
,
René English
,
Peter S. Nyasulu
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12879-023-08004-6
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12879-023-08004-6
Background The coronavirus disease 2019 (COVID-19) pandemic continues to evolve. Globally, COVID-19 continues to strain even the most resilient healthcare systems, with Omicron being the latest variant. We made a thorough search for literature describing the effects of the COVID-19 in a high human immunodeficiency virus (HIV)/tuberculosis (TB) burden district-level hospital setting. We found scanty literature. Methods A retrospective observational study was conducted at Khayelitsha District Hospital in Cape Town, South Africa (SA) over the period March 2020–December 2021. We included confirmed COVID-19 cases with HIV infection aged from 18 years and above. Analysis was performed to identify predictors of mortality or hospital discharge among people living with HIV (PLWH). Predictors investigated include CD4 count, antiretroviral therapy (ART), TB, non-communicable diseases, haematological, and biochemical parameters. Findings This cohort of PLWH with SARS-CoV-2 infection had a median (IQR) age of 46 (37–54) years, male sex distribution of 29.1%, and a median (IQR) CD4 count of 267 (141–457) cells/mm3. Of 255 patients, 195 (76%) patients were discharged, 60 (24%) patients died. One hundred and sixty-nine patients (88%) were on ART with 73(28%) patients having acquired immunodeficiency syndrome (AIDS). After multivariable analysis, smoking (risk ratio [RR]: 2.86 (1.75–4.69)), neutrophilia [RR]: 1.024 (1.01–1.03), and glycated haemoglobin A1 (HbA1c) [RR]: 1.01 (1.007–1.01) were associated with mortality. Conclusion The district hospital had a high COVID-19 mortality rate among PLWH. Easy-to-access biomarkers such as CRP, neutrophilia, and HbA1c may play a significant role in informing clinical management to prevent high mortality due to COVID-19 in PLWH at the district-level hospitals.
Related Topics
Concepts
Medicine
Epidemiology
Retrospective cohort study
Pandemic
Tropical medicine
Tuberculosis
Mortality rate
Pediatrics
Internal medicine
Coronavirus disease 2019 (COVID-19)
Disease
Infectious disease (medical specialty)
Pathology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12879-023-08004-6
- https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-023-08004-6
- OA Status
- gold
- Cited By
- 9
- References
- 42
- Related Works
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- OpenAlex ID
- https://openalex.org/W4322719029
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4322719029Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12879-023-08004-6Digital Object Identifier
- Title
-
The clinical and epidemiological characteristics of a series of patients living with HIV admitted for COVID-19 in a district hospitalWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-28Full publication date if available
- Authors
-
Ayanda Trevor Mnguni, Denzil Schietekat, Nabilah Ebrahim, Nawhaal Sonday, Nicholas Boliter, Neshaad Schrueder, Shiraaz Gabriels, Lovemore Nyasha Sigwadhi, Annalise E. Zemlin, Zivanai C. Chapanduka, Veranyuy Ngah, Anteneh Yalew, Thumeka P. Jalavu, Ibtisam Abdullah, Jacques Lukenze Tamuzi, Yamanya Tembo, Mary‐Ann Davies, René English, Peter S. NyasuluList of authors in order
- Landing page
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https://doi.org/10.1186/s12879-023-08004-6Publisher landing page
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https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-023-08004-6Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-023-08004-6Direct OA link when available
- Concepts
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Medicine, Epidemiology, Retrospective cohort study, Pandemic, Tropical medicine, Tuberculosis, Mortality rate, Pediatrics, Internal medicine, Coronavirus disease 2019 (COVID-19), Disease, Infectious disease (medical specialty), PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
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2025: 1, 2024: 3, 2023: 4, 2022: 1Per-year citation counts (last 5 years)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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