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Susceptibility of Patients With Inflammatory Bowel Disease to Covid-19 Compared With Their Households Publisher



Anushiravani A1 ; Saberzadehardestani B1 ; Vahedi H1 ; Fakheri H2 ; Mansourghanaei F3 ; Maleki I2 ; Nasserimoghaddam S1 ; Vosoghinia H4 ; Ghadir MR5 ; Hormati A5, 6 ; Kasaeian A1, 7 ; Radmard AR8 ; Khosravi B1 ; Malekzadeh M1 Show All Authors
Authors
  1. Anushiravani A1
  2. Saberzadehardestani B1
  3. Vahedi H1
  4. Fakheri H2
  5. Mansourghanaei F3
  6. Maleki I2
  7. Nasserimoghaddam S1
  8. Vosoghinia H4
  9. Ghadir MR5
  10. Hormati A5, 6
  11. Kasaeian A1, 7
  12. Radmard AR8
  13. Khosravi B1
  14. Malekzadeh M1
  15. Alatab S1
  16. Sadeghi A1
  17. Aminisani N9
  18. Poustchi H1
  19. Sima AR1
  20. Malekzadeh R1
Show Affiliations
Authors Affiliations
  1. 1. Digestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Gut and Liver Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  3. 3. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  4. 4. Gastroenterology and Hematology Department, Faculty of Medicine, Ghaem Hospital, Mashhad, Iran
  5. 5. Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Science, Iran
  6. 6. Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Hematology, Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Epidemiology and Statistics, Faculty of Health Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran

Source: Middle East Journal of Digestive Diseases Published:2022


Abstract

BACKGROUND: Immunosuppressive agents used in the treatment of inflammatory bowel diseases (IBDs) could potentially increase the risk of coronavirus disease 2019 (COVID-19). We aimed to compare COVID-19 frequency in patients with IBD with their households and identify the related risk factors. METHODS: Firstly, a multi-centered, observational study on 2110 patients with IBD and 2110 age-matched household members was conducted to compare COVID-19 frequency. Secondly, the data of patients with IBD and COVID-19 who had called the COVID-19 hotline were added. Multivariable logistic regression was used to evaluate the effect of age, type and severity of IBD, the number of comorbidities, and medications on the frequency of COVID-19 among the patients with IBD. RESULTS: The prevalence of COVID-19 in patients with IBD and household groups was similar (34 [1.61%] versus 35 [1.65%]; P = 0.995). The prevalence of COVID-19 increased from 2.1% to 7.1% in those with three or more comorbidities (P = 0.015) and it was significantly higher in those with severe IBD (P = 0.026). The multivariable analysis only showed a significant association with anti-TNF monotherapy (OR: 2.5, CI: 0.97-6.71, P = 0.05), and other medications were not associated with COVID-19. CONCLUSION: The prevalence of COVID-19 in patients with IBD was similar to the household members. Only patients with IBD receiving anti-TNF monotherapy had a higher risk of COVID-19 susceptibility. This finding could be attributed to the higher exposure to the virus during administration in health care facilities. © 2022 The Author(s).