학술논문

High HIV prevalence in an early cohort of hospital admissions with COVID-19 in Cape Town, South Africa
Document Type
Report
Source
SAMJ South African Medical Journal. October, 2020, Vol. 110 Issue 10, p982, 6 p.
Subject
South Africa
Language
English
ISSN
0256-9574
Abstract
Background. South Africa (SA) has a high prevalence of HIV and tuberculosis. Cape Town was the SA metropole most affected in the early stages of the COVID-19 pandemic. Early observational data from Africa may provide valuable insight into what can be expected as the pandemic expands across the continent. Objectives. To describe the prevalence, clinical features, comorbidities and outcome of an early cohort of HIV-positive and HIV-negative patients admitted with COVID-19. Methods. This was a descriptive observational study of an early cohort of adults with COVID-19 pneumonia admitted from 25 March to 11 May 2020. Results. Of 116 patients (mean age 48 years, 61% female) admitted, 24 were HIV-positive (21%). The most common symptoms reported were cough (n=88; 73%), shortness of breath (n=78; 69%), fever (n=67; 59%), myalgia (n=29; 25%) and chest pain (n=22; 20%). The most common comorbidities were hypertension (n=46; 41%), diabetes mellitus (n=43; 38%), obesity (n=32; 28%) and HIV (n=24; 21%). Mortality was associated with older age (mean (standard deviation) 55 (12) years v. 46 (14) years; p Conclusions. Patients with HIV infection represented a large proportion of all COVID-19 admissions. The presentation and outcome of patients with HIV did not differ significantly from those of patients without HIV. S Afr Med J 2020;110(10):982-987. https://doi.org/10.7196/SAMJ.2020.v110i10.15067
The first cases of COVID-19 were detected in South Africa (SA) on 5 March 2020, and in Cape Town on 11 March. [1] Subsequently case numbers have escalated exponentially. Western [...]