Household transmission of SARS-CoV-2 from adult index cases living with and without HIV in South Africa, 2020-2021: a case-ascertained, prospective observational household transmission study.
Jackie KleynhansSibongile WalazaNeil A MartinsonMzimasi NetiAnne von GottbergJinal N BhimanDylan ToiDaniel G AmoakoAmelia BuysKedibone NdlangisaNicole WolterLeisha GenadeLucia MalomaJuanita ChewparsadLimakatso LebinaLinda de GouveiaRetshidisitswe KotaneStefano TempiaCheryl CohenPublished in: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America (2022)
Index HIV status was not associated with higher HCIR, but cases LWH had longer positivity duration at high viral load. Adults aged >35 years were more likely to transmit, individuals aged 13-34 to acquire SARS-CoV-2 in the household. As HIV infection may increase transmission, health services must maintain HIV testing and antiretroviral therapy initiation.