Infectious Disease Reports (Oct 2022)

Efficacy of COVID-19 Vaccination in People Living with HIV: A Public Health Fundamental Tool for the Protection of Patients and the Correct Management of Infection

  • Alessio Facciolà,
  • Smeralda D’Amato,
  • Sebastiano Calimeri,
  • Daniela Lo Giudice,
  • Cristina Micali,
  • Ylenia Russotto,
  • Emmanuele Venanzi Rullo,
  • Giuseppe Nunnari,
  • Raffaele Squeri,
  • Giovanni Francesco Pellicanò

DOI
https://doi.org/10.3390/idr14050080
Journal volume & issue
Vol. 14, no. 5
pp. 784 – 793

Abstract

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HIV/AIDS is considered a risk factor for increased mortality due to COVID-19. For this reason, it is essential to include this population in vaccination campaigns. Studies found that antibodies are lower in HIV+ patients than in healthy individuals. The aim of this study was to assess the immune response in a cohort of people living with HIV/AIDS (PLWH) vaccinated with COVID-19 vaccination in order to evaluate the role played by the HIV infection in the efficacy of this vaccine. We carried out a cross-sectional study in the period April-September 2021, involving a cohort of PLWH and a cohort of HIV-uninfected people as the control group. The efficacy of vaccination was high in both groups despite a slight and not significant difference between them. However, important differences were found according to the intensity of the immune response. Specifically, while in the HIV+ group almost a quarter of people had a low response, it is important to remark that the control group had only a high or intermediate response after vaccination. Our results suggest the high efficacy of the mRNA COVID-19 vaccine in PLWH and the importance to vaccinate against COVID-19 in these patients in order to increase their protection.

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