Infection

Vulnerability

References

acute illness

provided symptoms are not a feature of Covid19

https://www.thelancet.com/journals/langas/article/PIIS2468-1253(20)30076-5/fulltext

CD4 count <50

or opportunistic illness in last six months

https://www.bsg.org.uk/covid-19-advice/

https://www.bhiva.org/BHIVA-and-THT-statement-on-COVID-19-and-advice-for-the-extremely-vulnerable

https://members.bashh.org/BASHH/Communities/CommunityLayouts/Other/COVID-19.aspx?iUniformKey=9cea4f6b-e9b8-4590-9616-34ad5b0d10f1

International AIDS Society Advice

US Dept of Health and Human Services Interim Guidance on COVID-19  for people with HIV

CD4 count 50-200, detectable viral load or not on ART

https://www.bsg.org.uk/covid-19-advice/

https://www.bhiva.org/BHIVA-and-THT-statement-on-COVID-19-and-advice-for-the-extremely-vulnerable

https://members.bashh.org/BASHH/Communities/CommunityLayouts/Other/COVID-19.aspx?iUniformKey=9cea4f6b-e9b8-4590-9616-34ad5b0d10f1

EACS & BHIVA Statement on risk of COVID-19 for people living with HIV (PLWH)

Although people with HIV who are on treatment with a normal CD4 T-cell count and suppressed viral load may not be at an increased risk of serious illness, many people with HIV have other conditions that increase their risk. Indeed, almost half of people living with HIV in Europe are older than 50 years and chronic medical problems such as cardiovascular and chronic lung disease are more common in people living with HIV.

International AIDS Society Advice

US Dept of Health and Human Services Interim Guidance on COVID-19  for people with HIV

CD4 count ≥ 200 or above and undetectable viral load, on ART

Maintain good social distancing

https://www.bsg.org.uk/covid-19-advice/

https://www.bhiva.org/BHIVA-and-THT-statement-on-COVID-19-and-advice-for-the-extremely-vulnerable

https://members.bashh.org/BASHH/Communities/CommunityLayouts/Other/COVID-19.aspx?iUniformKey=9cea4f6b-e9b8-4590-9616-34ad5b0d10f1

EACS & BHIVA Statement on risk of COVID-19 for people living with HIV (PLWH)

Although people with HIV who are on treatment with a normal CD4 T-cell count and suppressed viral load may not be at an increased risk of serious illness, many people with HIV have other conditions that increase their risk. Indeed, almost half of people living with HIV in Europe are older than 50 years and chronic medical problems such as cardiovascular and chronic lung disease are more common in people living with HIV.

International AIDS Society Advice

US Dept of Health and Human Services Interim Guidance on COVID-19  for people with HIV

viral, ongoing

individuals can get Covid19 in the presence of other URTI – no data on whether the effect will be increased

recovered, no other underlying condition

No extra restriction once well & after 7 days

Previous infections do not increase the risk of more severe infections in future unless the previous infections were due to other diseases (such as severe heart or lung conditions, diabetes or conditions or drugs that suppress the immune system)

https://www.pnas.org/content/116/52/27142  – some indication of possible short lived viral ‘protection’ after infection with another URTI

Increased restriction period likely -duration dependent upon severity of previous sepsis

Evidence suggests that, for a period of time following sepsis, some survivors can be more prone to developing further infections, and therefore have an increased risk of readmission with infective complications (including sepsis). These people may be at increased risk of severe illness if they acquire CoViD-19.

If, since your illness with sepsis, you have been well and not experienced repeated infections or problems with your immunity then the impact of a CoViD-19 infection is likely to be same the same of the majority of the population – in other words, a relatively mild illness.

pulmonary

post-TB lung damage often puts you at a higher risk of picking up chest infections and so you might be at slightly higher risk of having a chest infection if you were infected with COVID-19