People Living With HIV have a prolonged virus shedding duration even with anti-SARS-CoV-2 treatment:a retrospective cohort study in Wuhan, China DOI Creative Commons
Qian Du, Li Da Xu, Qianhui Chen

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Окт. 17, 2024

Abstract Objective This study aimed to investigate the clearance of SARS-CoV-2 in people living with HIV (PLWH) after receiving anti-SARS-CoV-2 treatment and relevant factors. Methods A retrospective investigation was conducted based on clinical data patients between December 2022 June 2023. The were categorized into PLWH HIV-negative groups. Basic information, comorbidity, COVID-19 severity, white blood cell count, lymphocyte medicine, steroid usage, virus shedding duration collected. Kaplan-Meier curve employed compare rates, multivariate logistic regression Cox analyses utilized identify factors influencing duration. Results total 149 (32 117 individuals) enrolled study. median estimated for group are 21 days 14 days, respectively (P < 0.001). rates at 5th day 15.63% 60.68% 0.001), 28th 87.50% 97.44% = 0.019) groups, respectively. Multivariate analysis showed that infection (OR 0.026, 95% CI: 0.004–0.159) count admission 4.341, 1.536–12.265) independent 0.05). Compared mild group, moderate severe groups had significant impacts both revealed age 0.977, 0.963–0.991), 0.351, 0.197–0.626), therapy initiation 0.827, 0.786–0.871), 1.999, 1.372–2.914) moderate, severe, critically ill statistically nucleic acid conversion Conclusion a prolonged even treatment, which could lead more opportunities accumulate multiple mutations induce resistance medicines.

Язык: Английский

Emergence of transmissible SARS-CoV-2 variants with decreased sensitivity to antivirals in immunocompromised patients with persistent infections DOI Creative Commons
Mohammed Nooruzzaman, Katherine Johnson, Ruchi Rani

и другие.

Nature Communications, Год журнала: 2024, Номер 15(1)

Опубликована: Сен. 18, 2024

Язык: Английский

Процитировано

16

Efficacy and safety of antiviral therapies for the treatment of persistent COVID-19 in immunocompromised patients since the Omicron surge: a systematic review DOI Creative Commons
Caroline Hirsch, Nina Kreuzberger, Nicole Skoetz

и другие.

Journal of Antimicrobial Chemotherapy, Год журнала: 2025, Номер unknown

Опубликована: Янв. 13, 2025

Abstract Background Persistent COVID-19 (pCOVID-19) in immunocompromised patients is characterized by unspecific symptoms and pulmonary infiltrates due to ongoing severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) replication. Treatment options remain unclear, leading different approaches, including combination therapy extended durations. The purpose of this study was assess the efficacy safety antiviral therapies for pCOVID-19 since Omicron surge. Methods We searched MEDLINE Scopus from 1 January 2022 6 August 2024 cohort studies case series on nirmatrelvir/ritonavir, remdesivir, ensitrelvir molnupiravir. Evidence certainty rated using Grading Recommendations Assessment, Development, Evaluation outcomes viral clearance, recurrence/relapse, mortality, adverse events (AEs) symptom resolution. Results Thirteen involving 127 cases were included. very low. In with at least two direct agents, clearance 79%, a 16% recurrence rate. All-cause mortality 9%, 6% while SARS-CoV-2 positive. 47 cases, AEs reported 11%. Symptom resolution ranged 3 days studies. one agent passive immunization, 89%, an 11% rate no deaths. four documented observed. monotherapy, 100%, 15% One death, unrelated SARS-CoV-2, occurred. 12 Conclusions Based low evidence, combining immunization resulted high rates few recurrences. occurred treated antivirals. Controlled are needed.

Язык: Английский

Процитировано

1

How Immunocompromised Hosts Were Left Behind in the Quest to Control the Covid-19 Pandemic DOI Creative Commons
Michael Boeckh, Steven A. Pergam,

Ajit P. Limaye

и другие.

Clinical Infectious Diseases, Год журнала: 2024, Номер unknown

Опубликована: Июнь 3, 2024

The immunocompromised population was disproportionately affected by the SARS-CoV-2 pandemic. However, these individuals were largely excluded from clinical trials of vaccines, monoclonal antibodies, and small molecule antivirals. While community scientists, researchers, funding agencies have proven that therapeutics can be made tested in record time, extending this progress to vulnerable medically complex start has been a missed opportunity. Here we advocate it is paramount plan for future pandemics investing specific trial infrastructure prepared when need arises.

Язык: Английский

Процитировано

9

Characteristics and outcomes of COVID-19 patients presumed to be treated with sotrovimab in NHS hospitals in England DOI Creative Commons

Vishal Patel,

Bethany Levick, Stephen Boult

и другие.

BMC Infectious Diseases, Год журнала: 2024, Номер 24(1)

Опубликована: Апрель 22, 2024

Abstract Background The impact of the constantly evolving severe acute respiratory syndrome coronavirus 2 on effectiveness early disease 2019 (COVID-19) treatments is unclear. Here, we report characteristics and clinical outcomes patients with COVID-19 treated a monoclonal antibody (mAb; presumed to be sotrovimab) across six distinct periods covering emergence predominance Omicron subvariants (BA.1, BA.2, BA.5) in England. Methods Retrospective cohort study using data from Hospital Episode Statistics database January 1–July 31, 2022. Included received mAb delivered by National Health Service (NHS) hospital as day-case, for which primary diagnosis was COVID-19. Patients were have sotrovimab based NHS showing that 99.98% COVID-19-mAb-treated individuals during period. COVID-19-attributable hospitalizations reported overall subvariant prevalence. Subgroup analyses conducted renal active cancer. Results Among total 10,096 patients, 1.0% ( n = 96) had hospitalization, 4.6% 465) visit due any cause, 0.3% 27) died cause hospitalization rates consistent among subgroups, no significant differences observed predominance. Conclusions Levels deaths low mAb-treated subgroups. Similar whilst BA.1, BA.5 predominant, despite reductions vitro neutralization activity against BA.2 BA.5.

Язык: Английский

Процитировано

8

Early initiation of combined therapy in severely immunocompromised patients with COVID-19: a retrospective cohort study DOI Creative Commons
Salvatore Rotundo,

Lavinia Berardelli,

Sara Palma Gullì

и другие.

BMC Infectious Diseases, Год журнала: 2024, Номер 24(1)

Опубликована: Июнь 6, 2024

Abstract This single-centre retrospective cohort study reports on the results of a descriptive (non-comparative) early initiation antivirals and combined monoclonal antibody therapy (mAbs) in 48 severely immunocompromised patients with COVID-19. The assessed outcomes duration viral shedding. started (ECT) median 2 days (interquartile range [IQR]: 1–3 days) after diagnosis SARS-CoV-2 infection. Except for 1 patient who died due COVID-19-related respiratory failure, had their first negative nasopharyngeal swab result 11 (IQR: 6–17 starting therapy. There were no severe side effects. During follow-up period 512 413–575 days), 6 (12.5%) 16 (33.3%) admitted to hospital. Moreover, 12 (25%) diagnosed reinfection 245 138–401 treatment. No relapses reported. Although there was comparison group, these compare favourably COVID-19 reported literature.

Язык: Английский

Процитировано

8

Efficacy, immunogenicity, and safety of the Novavax COVID-19 vaccine in immunocompromised patients: A targeted literature review DOI Creative Commons

Manuela H Gschwend,

Anthony M. Marchese, Dirk Poelaert

и другие.

Vaccine, Год журнала: 2025, Номер 49, С. 126777 - 126777

Опубликована: Янв. 31, 2025

Язык: Английский

Процитировано

1

Does early combination vs. Monotherapy improve clinical outcomes of clinically extremely vulnerable patients with COVID-19? Results from a retrospective propensity-weighted analysis DOI Creative Commons
Maria Mazzitelli, Alberto Enrico Maraolo, Claudia Cozzolino

и другие.

European journal of medical research, Год журнала: 2024, Номер 29(1)

Опубликована: Окт. 4, 2024

Язык: Английский

Процитировано

5

Antiviral therapies for the management of persistent coronavirus disease 2019 in immunocompromised hosts: A narrative review DOI Creative Commons
Paul Kinsella, Michael A. Moso, C. Orla Morrissey

и другие.

Transplant Infectious Disease, Год журнала: 2024, Номер 26(3)

Опубликована: Май 29, 2024

Abstract Antiviral agents with activity against severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) have played a critical role in disease management; however, little is known regarding the efficacy of these medications treatment SARS‐CoV‐2 infection immunocompromised patients, particularly management persistent positivity. This narrative review discusses 2019 hosts, focus on antiviral therapies. We identified 84 cases from literature describing variety approaches, including prolonged therapy ( n = 11), combination antivirals 13), and mixed antibody treatments 60). A high proportion had an underlying haematologic malignancy 67, 80%), were receipt anti‐CD20 51, 60%). Success was reported 70 (83%) which varied according to type. Combination therapies may be effective approach for individuals positivity, those that incorporate aimed at increasing neutralizing levels. Any novel approaches taken this difficult dilemma should mindful emergence resistance.

Язык: Английский

Процитировано

3

Predicting persistent SARS-CoV-2 shedding in immunocompromised patients: a probability-based approach DOI
Euijin Chang,

Jun-Won Kim,

Choi‐Young Jang

и другие.

Infectious Diseases, Год журнала: 2025, Номер unknown, С. 1 - 10

Опубликована: Янв. 3, 2025

Background Although recommended isolation periods for Coronavirus disease 2019 (COVID-19) have been shortened as the pandemic has subsided, prolonged Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) shedding remains common in immunocompromised patients. This study estimated probability of viral clearance these patients based on elapsed days and specific risk factors.

Язык: Английский

Процитировано

0

Efficacy of antiviral therapy and disease outcomes in COVID-19 patients previously treated with obinutuzumab for follicular lymphoma DOI Open Access

Nobuhiro Okagaki,

Seishu Hashimoto,

Satoshi N. Nakamura

и другие.

Tenri Medical Bulletin, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0