Qiao S J, Zhou S J, Xu L L, Chen X X, Xu Y Y, Shen W W, Liu X, Lin H J, He N
Department of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China.
Taizhou City Center for Disease Control and Prevention, Taizhou 318000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Feb 10;42(2):316-320. doi: 10.3760/cma.j.cn112338-20200420-00601.
To study the prevalence and correlates of plasma cytomegalovirus (CMV) viremia among newly reported antiretroviral therapy (ART)-naive HIV/AIDS patients in Taizhou during 2017-2018. CMV DNA was measured in plasma specimens of newly reported ART-naive HIV/AIDS patients by quantitative PCR. Both univariable and multivariable logistic regression analyses were carried out to evaluate CMV viremia correlations among the individuals. Of 612 HIV/AIDS patients, 480 (78.4%) were male, 125 (20.4%) were over 60 years old, 177 (28.9%) were infected via homosexual transmission, and 430 (70.3%) via heterosexual transmission. The prevalence of CMV viremia among HIV/AIDS patients was 13.4% (82/612). Multivariable logistic regression analysis showed that the risk of CMV viremia in CD lymphocyte cells counts (CD) ≤200 cells/μl group was higher than CD counts >500 cells/μl (=5.10, 95%:1.74-14.96, =0.003); The median CMV DNA level (log) of 82 viremic patients was 1.57 (,:1.04,2.13); Viremic patients with CD counts ≤200 cells/μl had the highest CMV viral load (<0.01). Among ART-naive HIV/AIDS patients, the prevalence of CMV viremia was significantly associated with immunodeficiency status. Further research is needed to evaluate the association between CMV viremia and the course of HIV infection.
研究2017 - 2018年期间台州市新报告的未接受抗逆转录病毒治疗(ART)的HIV/AIDS患者中血浆巨细胞病毒(CMV)病毒血症的患病率及其相关因素。通过定量PCR检测新报告的未接受ART的HIV/AIDS患者血浆标本中的CMV DNA。进行单变量和多变量逻辑回归分析以评估个体之间CMV病毒血症的相关性。612例HIV/AIDS患者中,480例(78.4%)为男性,125例(20.4%)年龄超过60岁,177例(28.9%)通过同性传播感染,430例(70.3%)通过异性传播感染。HIV/AIDS患者中CMV病毒血症的患病率为13.4%(82/612)。多变量逻辑回归分析显示,CD淋巴细胞计数(CD)≤200个细胞/μl组中CMV病毒血症的风险高于CD计数>500个细胞/μl组(比值比=5.10,95%置信区间:1.74 - 14.96,P = 0.003);82例病毒血症患者的CMV DNA水平中位数(对数)为1.57(四分位数间距:1.04,2.13);CD计数≤200个细胞/μl的病毒血症患者的CMV病毒载量最高(P<0.01)。在未接受ART的HIV/AIDS患者中,CMV病毒血症的患病率与免疫缺陷状态显著相关。需要进一步研究以评估CMV病毒血症与HIV感染病程之间的关联。