Evidence map›Paper›PMID 38862939›Full record

ArticleBMC public health2024

Risk of breakthrough infection and hospitalisation after COVID-19 primary vaccination by HIV status in four Italian regions during 2021.

Alberto Mateo-Urdiales, Massimo Fabiani, Flavia Mayer, Chiara Sacco, Valeria Belleudi, Roberto Da Cas, Emmanouil Alexandros Fotakis, Luigi De Angelis, Maria Cutillo, Daniele Petrone and 9 more

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Alberto Mateo-UrdialesDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy. Alberto.mateourdiales@iss.it.
Massimo FabianiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Flavia MayerNational Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Chiara SaccoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Valeria BelleudiDepartment of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy.
Roberto Da CasNational Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Emmanouil Alexandros FotakisDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Luigi De AngelisDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Maria CutilloNational Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Daniele PetroneDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Cristina MorcianoNational Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Andrea CannoneDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Martina Del MansoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Flavia RiccardoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Antonino BellaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Franscesca Menniti-IppolitoNational Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Patrizio PezzottiDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Stefania Spila Alegiani *National Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Marco Massari *National Center for Drug Research and Evaluation, Istituto Superiore di Sanità, Rome, Italy.

Funding

NextGenerationEU-MUR PNRR PE00000007
6 · The paper itself

Abstract

backgroundAs of 2024, vaccination remains the main mitigation measure against COVID-19, but there are contradictory results on whether people living with HIV (PLWH) are less protected by vaccines than people living without HIV (PLWoH). In this study we compared the risk of SARS-CoV-2 infection and COVID-19 hospitalisation following full vaccination in PLWH and PLWoH.

methodsWe linked data from the vaccination registry, the COVID-19 surveillance system and from healthcare/pharmacological registries in four Italian regions. We identified PLWH fully vaccinated (14 days post completion of the primary cycle) and matched them at a ratio of 1:4 with PLWoH by week of vaccine administration, age, sex, region of residence and comorbidities. Follow-up started on January 24, 2021, and lasted for a maximum of 234 days. We used the Kaplan-Meier estimator to calculate the cumulative incidence of infection and COVID-19 hospitalisation in both groups, and we compared risks using risk differences and ratios taking PLWoH as the reference group.

resultsWe matched 42,771 PLWH with 171,084 PLWoH. The overall risk of breakthrough infection was similar in both groups with a rate ratio (RR) of 1.10 (95% confidence interval (CI):0.80-1.53). The absolute difference between groups at the end of the study period was 8.28 events per 10,000 person-days in the PLWH group (95%CI:-18.43-40.29). There was a non-significant increase the risk of COVID-19 hospitalisation among PLWH (RR:1.90; 95%CI:0.93-3.32) which corresponds to 6.73 hospitalisations per 10,000 individuals (95%CI: -0.57 to 14.87 per 10,000).

conclusionsOur findings suggest PLWH were not at increased risk of breakthrough SARS-CoV-2 infection or COVID-19 hospitalisation following a primary cycle of mRNA vaccination.

Indexed as

COVID-19COVID-19 VaccinesHIV InfectionsHospitalizationAdultAgedBreakthrough InfectionsFemaleHumansIncidenceItalyMaleMiddle AgedRegistriesRisk FactorsSARS-CoV-2COVID-19 VaccinesAIDSCOVID-19HIVVACCINES

Identifiers

PMID38862939
PMCPMC11165887

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.