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Brief communication: COVID-19 in patients with HIV-a prospective, single-centre cohort study in Slovakia

AIDS Res Ther. 2026 Jun 6. doi: 10.1186/s12981-026-00895-0. Online ahead of print.

ABSTRACT

BACKGROUND: Evidence on COVID-19 among people living with HIV (PLWH) remains mixed and context-dependent.

METHODS: We prospectively followed 64 PLWH receiving antiretroviral therapy at a tertiary university hospital in Martin, Slovakia (September 2020-September 2021). SARS-CoV-2 infection was confirmed by RT-PCR.

RESULT: COVID-19 was diagnosed in 54 of 64 participants (84.4%) and was generally mild; none required intensive care, and no deaths were reported. There were no statistically significant differences between PLWH who did and did not develop COVID-19 with respect to age, duration of HIV infection, CD4 cell count, or viral suppression. Participants who developed COVID-19 were more likely to have at least one documented comorbidity; however, this did not appear to translate into severe outcomes in this small cohort. Among those with COVID-19, exploratory comparisons showed no clear differences in short-term outcomes according to mRNA vaccination status.

CONCLUSIONS: In this small exploratory cohort of ART-treated individuals in Slovakia, we did not identify clear clinical or HIV-related predictors of COVID-19 outcomes; however, the study was underpowered and the findings should be interpreted cautiously.

PMID:42251430 | DOI:10.1186/s12981-026-00895-0

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