Disproportionate burden of COVID-19 among racial minorities and those in congregate settings among a large cohort of people with HIV.
Identifieur interne : 000221 ( Main/Exploration ); précédent : 000220; suivant : 000222Disproportionate burden of COVID-19 among racial minorities and those in congregate settings among a large cohort of people with HIV.
Auteurs : Eric A. Meyerowitz [États-Unis] ; Arthur Y. Kim [États-Unis] ; Kevin L. Ard [États-Unis] ; Nesli Basgoz [États-Unis] ; Jacqueline T. Chu [États-Unis] ; Rocio M. Hurtado [États-Unis] ; Catherine K. Lee [États-Unis] ; Wei He [États-Unis] ; Theresa Minukas [États-Unis] ; Sandra Nelson [États-Unis] ; Bisola O. Ojikutu [États-Unis] ; Greg Robbins [États-Unis] ; Sarimer Sanchez [États-Unis] ; Virginia A. Triant [États-Unis] ; Kimon Zachary [États-Unis] ; Rajesh T. Gandhi [États-Unis]Source :
- AIDS (London, England) [ 1473-5571 ] ; 2020.
Abstract
BACKGROUND
Many people living with HIV (PLWH) have comorbidities which are risk factors for severe COVID-19 or have exposures that may lead to acquisition of SARS-CoV-2. There are few studies, however, on the demographics, comorbidities, clinical presentation or outcomes of COVID-19 in people with HIV.
OBJECTIVE
To evaluate risk factors, clinical manifestations and outcomes in a large cohort of PLWH with COVID-19.
METHODS
We systematically identified all PLWH who were diagnosed with COVID-19 at a large hospital from March 3 to April 26, 2020 during an outbreak in Massachusetts. We analyzed each of the cases to extract information including demographics, medical comorbidities, clinical presentation, and illness course after COVID-19 diagnosis.
RESULTS
We describe a cohort of 36 PLWH with confirmed COVID-19 and another 11 patients with probable COVID-19. Almost 85% of PLWH with confirmed COVID-19 had a comorbidity associated with severe disease, including obesity, cardiovascular disease, or hypertension. Approximately 77% of PLWH with COVID-19 were non-Hispanic Black or Latinx whereas only 40% of the PLWH in our clinic were Black or Latinx. Nearly half of PLWH with COVID-19 had exposure to congregate settings. In addition to people with confirmed COVID-19, we identified another 11 individuals with probable COVID-19, almost all of whom had negative PCR testing.
CONCLUSION
In the largest cohort to date of PLWH and confirmed COVID-19, almost all had a comorbidity associated with severe disease, highlighting the importance of non-HIV risk factors in this population. The racial disparities and frequent link to congregate settings in PLWH and COVID-19 need to be explored urgently.
DOI: 10.1097/QAD.0000000000002607
PubMed: 32604138
Affiliations:
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Triant</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Mongan Institute, Massachusetts General Hospital, 100 Cambridge St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mongan Institute, Massachusetts General Hospital, 100 Cambridge St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Zachary, Kimon" sort="Zachary, Kimon" uniqKey="Zachary K" first="Kimon" last="Zachary">Kimon Zachary</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Gandhi, Rajesh T" sort="Gandhi, Rajesh T" uniqKey="Gandhi R" first="Rajesh T" last="Gandhi">Rajesh T. 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Meyerowitz</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Kim, Arthur Y" sort="Kim, Arthur Y" uniqKey="Kim A" first="Arthur Y" last="Kim">Arthur Y. Kim</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Ard, Kevin L" sort="Ard, Kevin L" uniqKey="Ard K" first="Kevin L" last="Ard">Kevin L. Ard</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Basgoz, Nesli" sort="Basgoz, Nesli" uniqKey="Basgoz N" first="Nesli" last="Basgoz">Nesli Basgoz</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Chu, Jacqueline T" sort="Chu, Jacqueline T" uniqKey="Chu J" first="Jacqueline T" last="Chu">Jacqueline T. Chu</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Hurtado, Rocio M" sort="Hurtado, Rocio M" uniqKey="Hurtado R" first="Rocio M" last="Hurtado">Rocio M. Hurtado</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Global Health Committee, Boston, MA 02115, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Global Health Committee, Boston, MA 02115</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Lee, Catherine K" sort="Lee, Catherine K" uniqKey="Lee C" first="Catherine K" last="Lee">Catherine K. Lee</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name><affiliation wicri:level="2"><nlm:affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Minukas, Theresa" sort="Minukas, Theresa" uniqKey="Minukas T" first="Theresa" last="Minukas">Theresa Minukas</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Nelson, Sandra" sort="Nelson, Sandra" uniqKey="Nelson S" first="Sandra" last="Nelson">Sandra Nelson</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Ojikutu, Bisola O" sort="Ojikutu, Bisola O" uniqKey="Ojikutu B" first="Bisola O" last="Ojikutu">Bisola O. Ojikutu</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Robbins, Greg" sort="Robbins, Greg" uniqKey="Robbins G" first="Greg" last="Robbins">Greg Robbins</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Sanchez, Sarimer" sort="Sanchez, Sarimer" uniqKey="Sanchez S" first="Sarimer" last="Sanchez">Sarimer Sanchez</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Triant, Virginia A" sort="Triant, Virginia A" uniqKey="Triant V" first="Virginia A" last="Triant">Virginia A. Triant</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Mongan Institute, Massachusetts General Hospital, 100 Cambridge St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mongan Institute, Massachusetts General Hospital, 100 Cambridge St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Zachary, Kimon" sort="Zachary, Kimon" uniqKey="Zachary K" first="Kimon" last="Zachary">Kimon Zachary</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Gandhi, Rajesh T" sort="Gandhi, Rajesh T" uniqKey="Gandhi R" first="Rajesh T" last="Gandhi">Rajesh T. Gandhi</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School, Boston, MA 02115.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="eISSN">1473-5571</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Many people living with HIV (PLWH) have comorbidities which are risk factors for severe COVID-19 or have exposures that may lead to acquisition of SARS-CoV-2. There are few studies, however, on the demographics, comorbidities, clinical presentation or outcomes of COVID-19 in people with HIV.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate risk factors, clinical manifestations and outcomes in a large cohort of PLWH with COVID-19.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We systematically identified all PLWH who were diagnosed with COVID-19 at a large hospital from March 3 to April 26, 2020 during an outbreak in Massachusetts. We analyzed each of the cases to extract information including demographics, medical comorbidities, clinical presentation, and illness course after COVID-19 diagnosis.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We describe a cohort of 36 PLWH with confirmed COVID-19 and another 11 patients with probable COVID-19. Almost 85% of PLWH with confirmed COVID-19 had a comorbidity associated with severe disease, including obesity, cardiovascular disease, or hypertension. Approximately 77% of PLWH with COVID-19 were non-Hispanic Black or Latinx whereas only 40% of the PLWH in our clinic were Black or Latinx. Nearly half of PLWH with COVID-19 had exposure to congregate settings. In addition to people with confirmed COVID-19, we identified another 11 individuals with probable COVID-19, almost all of whom had negative PCR testing.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>In the largest cohort to date of PLWH and confirmed COVID-19, almost all had a comorbidity associated with severe disease, highlighting the importance of non-HIV risk factors in this population. The racial disparities and frequent link to congregate settings in PLWH and COVID-19 need to be explored urgently.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32604138</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1473-5571</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jun</Month><Day>25</Day></PubDate></JournalIssue><Title>AIDS (London, England)</Title><ISOAbbreviation>AIDS</ISOAbbreviation></Journal><ArticleTitle>Disproportionate burden of COVID-19 among racial minorities and those in congregate settings among a large cohort of people with HIV.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1097/QAD.0000000000002607</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Many people living with HIV (PLWH) have comorbidities which are risk factors for severe COVID-19 or have exposures that may lead to acquisition of SARS-CoV-2. There are few studies, however, on the demographics, comorbidities, clinical presentation or outcomes of COVID-19 in people with HIV.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate risk factors, clinical manifestations and outcomes in a large cohort of PLWH with COVID-19.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We systematically identified all PLWH who were diagnosed with COVID-19 at a large hospital from March 3 to April 26, 2020 during an outbreak in Massachusetts. We analyzed each of the cases to extract information including demographics, medical comorbidities, clinical presentation, and illness course after COVID-19 diagnosis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We describe a cohort of 36 PLWH with confirmed COVID-19 and another 11 patients with probable COVID-19. Almost 85% of PLWH with confirmed COVID-19 had a comorbidity associated with severe disease, including obesity, cardiovascular disease, or hypertension. Approximately 77% of PLWH with COVID-19 were non-Hispanic Black or Latinx whereas only 40% of the PLWH in our clinic were Black or Latinx. Nearly half of PLWH with COVID-19 had exposure to congregate settings. In addition to people with confirmed COVID-19, we identified another 11 individuals with probable COVID-19, almost all of whom had negative PCR testing.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In the largest cohort to date of PLWH and confirmed COVID-19, almost all had a comorbidity associated with severe disease, highlighting the importance of non-HIV risk factors in this population. The racial disparities and frequent link to congregate settings in PLWH and COVID-19 need to be explored urgently.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Meyerowitz</LastName><ForeName>Eric A</ForeName><Initials>EA</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Arthur Y</ForeName><Initials>AY</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ard</LastName><ForeName>Kevin L</ForeName><Initials>KL</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Basgoz</LastName><ForeName>Nesli</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chu</LastName><ForeName>Jacqueline T</ForeName><Initials>JT</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hurtado</LastName><ForeName>Rocio M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Global Health Committee, Boston, MA 02115, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Catherine K</ForeName><Initials>CK</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>He</LastName><ForeName>Wei</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Minukas</LastName><ForeName>Theresa</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nelson</LastName><ForeName>Sandra</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ojikutu</LastName><ForeName>Bisola O</ForeName><Initials>BO</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robbins</LastName><ForeName>Greg</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanchez</LastName><ForeName>Sarimer</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Triant</LastName><ForeName>Virginia A</ForeName><Initials>VA</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of General Internal Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Mongan Institute, Massachusetts General Hospital, 100 Cambridge St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zachary</LastName><ForeName>Kimon</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gandhi</LastName><ForeName>Rajesh T</ForeName><Initials>RT</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Harvard Medical School, Boston, MA 02115.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS</MedlineTA><NlmUniqueID>8710219</NlmUniqueID><ISSNLinking>0269-9370</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32604138</ArticleId><ArticleId IdType="doi">10.1097/QAD.0000000000002607</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Meyerowitz, Eric A" sort="Meyerowitz, Eric A" uniqKey="Meyerowitz E" first="Eric A" last="Meyerowitz">Eric A. Meyerowitz</name></region><name sortKey="Ard, Kevin L" sort="Ard, Kevin L" uniqKey="Ard K" first="Kevin L" last="Ard">Kevin L. Ard</name><name sortKey="Ard, Kevin L" sort="Ard, Kevin L" uniqKey="Ard K" first="Kevin L" last="Ard">Kevin L. Ard</name><name sortKey="Basgoz, Nesli" sort="Basgoz, Nesli" uniqKey="Basgoz N" first="Nesli" last="Basgoz">Nesli Basgoz</name><name sortKey="Basgoz, Nesli" sort="Basgoz, Nesli" uniqKey="Basgoz N" first="Nesli" last="Basgoz">Nesli Basgoz</name><name sortKey="Chu, Jacqueline T" sort="Chu, Jacqueline T" uniqKey="Chu J" first="Jacqueline T" last="Chu">Jacqueline T. Chu</name><name sortKey="Chu, Jacqueline T" sort="Chu, Jacqueline T" uniqKey="Chu J" first="Jacqueline T" last="Chu">Jacqueline T. Chu</name><name sortKey="Chu, Jacqueline T" sort="Chu, Jacqueline T" uniqKey="Chu J" first="Jacqueline T" last="Chu">Jacqueline T. Chu</name><name sortKey="Gandhi, Rajesh T" sort="Gandhi, Rajesh T" uniqKey="Gandhi R" first="Rajesh T" last="Gandhi">Rajesh T. Gandhi</name><name sortKey="Gandhi, Rajesh T" sort="Gandhi, Rajesh T" uniqKey="Gandhi R" first="Rajesh T" last="Gandhi">Rajesh T. Gandhi</name><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name><name sortKey="Hurtado, Rocio M" sort="Hurtado, Rocio M" uniqKey="Hurtado R" first="Rocio M" last="Hurtado">Rocio M. Hurtado</name><name sortKey="Hurtado, Rocio M" sort="Hurtado, Rocio M" uniqKey="Hurtado R" first="Rocio M" last="Hurtado">Rocio M. Hurtado</name><name sortKey="Hurtado, Rocio M" sort="Hurtado, Rocio M" uniqKey="Hurtado R" first="Rocio M" last="Hurtado">Rocio M. Hurtado</name><name sortKey="Kim, Arthur Y" sort="Kim, Arthur Y" uniqKey="Kim A" first="Arthur Y" last="Kim">Arthur Y. Kim</name><name sortKey="Kim, Arthur Y" sort="Kim, Arthur Y" uniqKey="Kim A" first="Arthur Y" last="Kim">Arthur Y. Kim</name><name sortKey="Lee, Catherine K" sort="Lee, Catherine K" uniqKey="Lee C" first="Catherine K" last="Lee">Catherine K. Lee</name><name sortKey="Minukas, Theresa" sort="Minukas, Theresa" uniqKey="Minukas T" first="Theresa" last="Minukas">Theresa Minukas</name><name sortKey="Nelson, Sandra" sort="Nelson, Sandra" uniqKey="Nelson S" first="Sandra" last="Nelson">Sandra Nelson</name><name sortKey="Nelson, Sandra" sort="Nelson, Sandra" uniqKey="Nelson S" first="Sandra" last="Nelson">Sandra Nelson</name><name sortKey="Ojikutu, Bisola O" sort="Ojikutu, Bisola O" uniqKey="Ojikutu B" first="Bisola O" last="Ojikutu">Bisola O. Ojikutu</name><name sortKey="Ojikutu, Bisola O" sort="Ojikutu, Bisola O" uniqKey="Ojikutu B" first="Bisola O" last="Ojikutu">Bisola O. Ojikutu</name><name sortKey="Robbins, Greg" sort="Robbins, Greg" uniqKey="Robbins G" first="Greg" last="Robbins">Greg Robbins</name><name sortKey="Robbins, Greg" sort="Robbins, Greg" uniqKey="Robbins G" first="Greg" last="Robbins">Greg Robbins</name><name sortKey="Sanchez, Sarimer" sort="Sanchez, Sarimer" uniqKey="Sanchez S" first="Sarimer" last="Sanchez">Sarimer Sanchez</name><name sortKey="Triant, Virginia A" sort="Triant, Virginia A" uniqKey="Triant V" first="Virginia A" last="Triant">Virginia A. Triant</name><name sortKey="Triant, Virginia A" sort="Triant, Virginia A" uniqKey="Triant V" first="Virginia A" last="Triant">Virginia A. Triant</name><name sortKey="Triant, Virginia A" sort="Triant, Virginia A" uniqKey="Triant V" first="Virginia A" last="Triant">Virginia A. Triant</name><name sortKey="Triant, Virginia A" sort="Triant, Virginia A" uniqKey="Triant V" first="Virginia A" last="Triant">Virginia A. Triant</name><name sortKey="Zachary, Kimon" sort="Zachary, Kimon" uniqKey="Zachary K" first="Kimon" last="Zachary">Kimon Zachary</name><name sortKey="Zachary, Kimon" sort="Zachary, Kimon" uniqKey="Zachary K" first="Kimon" last="Zachary">Kimon Zachary</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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