Abstract | BACKGROUND: To assess the impact of syphilis infection on the risk of HIV- RNA elevation in people living with HIV (PLWH) with current HIV- RNA ≤50 copies/mL. SETTING: The Italian Cohort Naive Antiretrovirals. METHODS: All PLWH (2009-2020) under antiretroviral treatment with at least 2 consecutive HIV- RNA values ≤50 copies/mL before the date of syphilis diagnosis and at least 1 HIV- RNA determination after the syphilis event were enrolled. A control group of PLWH without syphilis was matched for mode of HIV transmission. Outcomes were defined using the first HIV- RNA measure in the time window ranging between -2 and +6 months of the diagnosis/index date. The primary outcome used a single value >200 copies/mL to define HIV- RNA elevation associated with risk of transmission. The association between syphilis infection and the protocol defined outcome was evaluated using logistic regression analysis. RESULTS: Nine hundred twenty-six PLWH with a syphilis event were enrolled and matched with a random sample of 1370 PLWH without syphilis. Eighteen of the 926 (1.9%) with syphilis had ≥1 HIV- RNA >200 copies/mL in the window vs. 29/1370 (2.1%) of the not exposed (P = 0.77). In the multivariable analysis adjusted for age, year of diagnosis/index date, and clinical site, syphilis infection was not associated with the risk of HIV- RNA >200 copies/mL (adjusted odds ratio 0.81; 95% confidence interval 0.43-1.52, P = 0.508). CONCLUSIONS: We did not find any evidence for an association between syphilis infection and viral elevation >200 copies/mL.
|
Authors | Andrea Giacomelli, Alessandro Cozzi-Lepri, Antonella Cingolani, Alessandro Tavelli, Valentina Mazzotta, Daniele Tesoro, Matteo Bassetti, Antonella Castagna, Antonio Di Biagio, Miriam Lichter, Antonella d'Arminio Monforte, Stefano Rusconi, ICONA Foundation Study Group |
Journal | Journal of acquired immune deficiency syndromes (1999)
(J Acquir Immune Defic Syndr)
Vol. 88
Issue 2
Pg. 132-137
(10 01 2021)
ISSN: 1944-7884 [Electronic] United States |
PMID | 34138773
(Publication Type: Journal Article, Observational Study, Research Support, Non-U.S. Gov't)
|
Copyright | Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. |
Chemical References |
|
Topics |
- Antiretroviral Therapy, Highly Active
(methods)
- Coinfection
- HIV Infections
(complications, drug therapy, epidemiology)
- Humans
- Italy
(epidemiology)
- RNA
(therapeutic use)
- Syphilis
(complications, epidemiology)
- Viral Load
|