Table 1 Summarized study-level patient sociodemographic characteristics.

From: Epidemiology and outcomes of COVID-19 in HIV-infected individuals: a systematic review and meta-analysis

Author

Country

Sample size

Age (y)

% Male

# HIV

% HIV

% on ART

CD4 T-cell/μL (median)

HIV Viral load

Study quality score

Comorbidities in HIV population

COVID-19 diagnosis

ART effects on susceptibility/deaths

Härter et al.16

Germany

33

48

90

33

100

100

670 (69–1715)

HIV RNA

 < 50 copies/mL (30/32)

2/32 had detectable viremia, all needed ventilation, and 1 died

7

HTN(10/33), COPD (6/33), diabetes (4/33), CVD (3/33), CKF (2/33)

SARS-CoV-2 RNA RT-PCR from nasopharyngeal, swabs in 29, bronchoalveolar lavage or sputum in 2 cases; in two cases, information not available in 2 cases

NRTIs (31/33)

INSTI (20/33)

PI (4/33)

Non-NRTI (9/33)

NRTIs

TAF (16/31)

TDF (6/31)

FTC (22/31)

3TC (9/31)

Died (3)

BIC/TAF/FTC (33%)

DOR/TDF/FTC(33%)

DRV/RTV/RGV(33%)

Blanco et al. 17

Spain

5

38

60

5

100

100

564

HIV RNA

 < 50 copies/mL (4/5)

7

Asthma (1/5)

Hypothyroidism (1/5)

SARS-CoV-2 RNA RT-PCR from nasopharyngeal swabs in all patients

TAF/FTC (2/5) ABC/3TC (2/5)

No ART (1/5)

No death recorded

Gervason et al.18

Italy

47

51

77

47

100

100

636

HIV RNA

 < 50 copies/mL (44/47)

7

HTN(14/47), COPD (2/47), diabetes (3/47), CVD (2/47), CKF (4/47), cancer (3/47), epilepsy (2/47), Hep B or C (5/47)

SARS-CoV-2 RT-PCR (26)

IgG/IgM rapid test (2)

Clinical symptoms (19)

Pre-hospitalization ART not provided

Richardson et al.19

United States

5,700

63

60

43

0.75

8

SARS-CoV-2 RNA RT-PCR of nasopharyngeal swabs

Chen et al.20

China

203

54

53

2

0.99

 

8

Sputum and throat swab SARS-CoV-2 RNA RT-PCR

Karmen-Tuohy et al.21

United States

63

60 HIV+ 

61 HIV − 

91 HIV+ 

91 HIV−

21

33

100

298

HIV RNA

 < 50 copies/mL (1/21)

8

HTN(7/21), COPD (4/21), diabetes (4/21), CVD (1/21), CKF (4/21), cancer (3/21), hyperlipidemia(4/21)

SARS-CoV-2 RT-PCR

Pre-hospitalization ART not provided

Bhatraju et al.22

United States

24

64

63

1

4

8

SARS-CoV-2 RT-PCR

Pre-hospitalization ART not provided

Cummings et al.23

United States

257

62

67

8

3

8

SARS-CoV-2 PCR

Pre-hospitalization ART not provided

Prieto-Alhambra et al.24

Spain

121,263

42

311

0.26

8

SARS-CoV-2 RT-PCR and/or a clinical diagnosis

Pre-hospitalization ART not provided

Argenziano et al.25

United States

1000

63

60

21

2

8

SARS-CoV-2 RT-PCR

Pre-hospitalization ART not provided

Marcello et al.26

United States

13,442

53

56

159

1

8

Real-time RT-PCR assays of nasopharyngeal swabs

Pre-hospitalization ART not provided

Crotty et al.27

United States

289

59

7

2

8

RT-PCR a nasopharyngeal

Pre-hospitalization ART not provided

Suwanwongse and Shabarek et al.28

United States

9

58

78

9

100

89

617

HIV RNA

 < 50 copies/mL (8/9)

7

HTN(6/9), COPD (4/9), Diabetes (3/9),HCV(3/9)

RT-PCR a nasopharyngeal

Only 2 of the 9 patients survived. One was on FTC, TAF, DTG, RTV, DRV and the other on EVG, FTC, TAF, cobicistat. Of the 7 that died, 2 were on TDF containing regimen and 4 on TAF containing regimen

Vizcarra et al.29

Spain

51

53.3

84

51

100

100

565 (296–782)

Last HIV-RNA < 50 copies per mL, N = 50 /51(98%)

7

HTN (18/51), diabetes (7/51), CKF (6/51), CLD(24/51)

SARS-CoV-2 RT-PCR and/or a clinical diagnosis

The 51 HIV individuals with COVID-19 37 (73%) were on Tenofovir (TAF or TDF) compared to 487 (38%) HIV-infected individuals not with COVID-19. Protease inhibitors, NNRTI frequencies were similar between the two groups

Bhaskaran et al.30

United Kingdom

17.3 million

48 HIV+ 

49 HIV−

65 HIV+ 

50 HIV−

27,480

0.2

9

HTN(19%), CLD (3.4%), CVD (5.3%), stroke (2.0%), chronic respiratory disease (4.0%)

Data on antiretroviral therapy use not reported

Boulle et al.31

South Africa

3.4 million

 > 20 years

37

536,574

16

 

8

SARS-CoV-2 RT-PCR test

Twofold association of COVID-19 death with HIV irrespective of viremia or immunosuppression before the COVID-19 episode. TDF was associated with lower COVID-19 mortality compared to other antiretrovirals

Charre et al.32

France

19,113

47

41

77

0.4

99

529

HIV-RNA < 50 copies per mL, N = 69 (89.6%)

7

SARS-CoV-2 RT-PCR test

All HIV-infected patients

TDF/TAF, N = 52 (67.5%); NNRTI, N = 23 (29.9%); INSTI, N = 48 (62.3%); boosted PI, N = 9 (11.7%)

HIV-SARS-CoV-2 coinfected patients:

10/12 (83%)

D'Souza et al.33

United States

3411

57

46

2078

61

92

682

HIV-RNA < 50 copies per mL, N = 69 (74%)

8

All diagnosis are assumed to be PCR-based

Data on antiretroviral therapy use not reported

Geretti et al.34

United Kingdom

47,592

56 HIV+ 

74 HIV−

66 HIV+ 

57 HIV−

122

0.26

92

8

Cardiac disease (20/117), COPD (13/120), diabetes (28/117), CKF (21/116), cancer (4/118), obesity (19/112) malnutrition (5/112)

SARS-CoV-2 RNA PCR

Data on antiretroviral therapy use not reported

Huang et al.7

China

6001

37

90

6001

100

92

HIV-RNA < 20 copies per mL, 3334/5004 (66.63)

8

Confirmed cases (by RT-PCR) and clinically diagnosed cases

All PLWHA

NRTI = 92%

NNRTI = 81%

PI = 8%

PLWHA and COVID-19

NRTI = 91%

NNRTI = 81%

PI = 3%

No statistical difference

Tesorieret et al.6

United States

2988

2988

100

 

8

PCR

confirmed SARS-CoV-2 infection

Data on antiretroviral therapy use not reported

del Amo et al.35

Spain

236 (HIV with COVID-19)

236

236

100

100

8

SARS-CoV-2 PCR test in all 236 patients with COVID-19

All PLWHA: TAF/FTC (33%),ABC/3TC (26%) and TDF/FTC (16%)

PLWHA with COVID-19: TAF/FTC (42%),ABC/3TC (24%) and TDF/FTC (9%)

  1. ART: antiretroviral therapy; NRTIs: nucleos(t)ide reverse transcriptase inhibitors; NNRTI non-nucleoside reverse transcriptase inhibitors; TDF: tenofovir disoproxil fumarate; TAF: tenofovir alafenamide; FTC: emtricitabine; DOR: doravirine; DRV: darunavir; DTG: dolutegravir; 3TC: lamivudine; PI: protease-inhibitor; HTN: hypertension; CKD: chronic kidney disease. PCR: polymerase chain reaction; Hep: Hepatitis; HCV: Hepatitis C virus; RT-PCR Reverse transcription Polymerase Chain Reaction; CLD: Chronic Liver Disease; NSTI, integrase strand transfer inhibitor;
  2. PLWHA; persons living with HIV/AIDS.