Article
作者: Sokhela, Simiso ; Avihingsanon, Anchalee ; Kumarasamy, Nagalingeswaran ; Jacoby, Simone ; Tovar-Sanchez, Tamara ; Petoumenos, Kathy ; Eriobu, Nnakelu ; Delaporte, Eric ; Ayouba, Ahidjo ; Arriaga, Maria ; Woods, Joana ; Matthews, Gail V. ; Losso, Marcelo H. ; Mpoudi-Etame, Mireille ; Calmy, Alexandra ; Venter, W.D. Francois ; Grinsztejng, Beatriz ; Kouanfack, Charles ; Khoo, Saye ; Polizzotto, Mark N. ; Kaplan, Richard ; Borok, Margaret ; Papot, Emmanuelle ; Thaurignac, Guillaume ; Azwa, Iskandar
Objective:Data on the impact of coronavirus disease 2019 (COVID-19) in people with HIV (PWH) are lacking in resource-constrained settings. We utilized existing randomized clinical trials (RCTs) on antiretroviral therapies (ART) in HIV-1 infection to conduct a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serosurvey, between January and March 2021, while characterizing participants’ features.Design:Cross-sectional serosurvey.Methods:Demographic characteristics, medical history and a serum sample were collected from consenting PWH. Samples were analyzed centrally for immunoglobulin G antibodies to recombinant nucleocapsid and spike proteins derived from SARS-CoV-2 using a Luminex based assay.Results:The 549 participants recruited in 9 sites across Africa had a median age of 40 years (interquartile range, IQR [34–45]); 63.0% (346) were female. All were on ART; 81.8% (449) had an HIV-1 viral load <50 copies/ml, with CD4+ cell count median at 478/mm3 (IQR [320–677]). None had received vaccination against SARS-CoV-2. Forty participants (7.3%) had a prior SARS-CoV-2 PCR testing, of whom 10 were positive (1.8%). Crude SARS-CoV-2 seroprevalence was 36.2% (95% confidence interval (CI) [32.2–40.4]). In the explorative multivariable analysis, comparison of the characteristics of PWH with a positive SARS-CoV-2 serology with those with a negative or indeterminate serology: PWH with a body mass index (BMI) ≥30 kg/m2 were more likely to have a positive serology than those with a BMI <25 (adjusted odds ratio (aOR) = 2.39 [1.48–3.86], P < 0.001); and PWH living in Cameroon were less likely to have a positive serology.Conclusion:This study demonstrates a substantial seroprevalence level of SARS-CoV-2 in PWH in the first quarter of 2021, with a marked disparity with the number of COVID-19 PCR tests reported positive.