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10.24171/j.phrp.2020.11.3.02

http://scihub22266oqcxt.onion/10.24171/j.phrp.2020.11.3.02
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suck abstract from ncbi


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pmid32528816      Osong+Public+Health+Res+Perspect 2020 ; 11 (3): 112-117
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  • Detection and Isolation of SARS-CoV-2 in Serum, Urine, and Stool Specimens of COVID-19 Patients from the Republic of Korea #MMPMID32528816
  • Kim JM; Kim HM; Lee EJ; Jo HJ; Yoon Y; Lee NJ; Son J; Lee YJ; Kim MS; Lee YP; Chae SJ; Park KR; Cho SR; Park S; Kim SJ; Wang E; Woo S; Lim A; Park SJ; Jang J; Chung YS; Chin BS; Lee JS; Lim D; Han MG; Yoo CK
  • Osong Public Health Res Perspect 2020[Jun]; 11 (3): 112-117 PMID32528816show ga
  • OBJECTIVES: Coronavirus Disease-19 (COVID-19) is a respiratory infection characterized by the main symptoms of pneumonia and fever. It is caused by the novel coronavirus severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2), which is known to spread via respiratory droplets. We aimed to determine the rate and likelihood of SARS-CoV-2 transmission from COVID-19 patients through non-respiratory routes. METHODS: Serum, urine, and stool samples were collected from 74 hospitalized patients diagnosed with COVID-19 based on the detection of SARS-CoV-2 in respiratory samples. The SARS-CoV-2 RNA genome was extracted from each specimen and real-time reverse transcription polymerase chain reaction performed. CaCo-2 cells were inoculated with the specimens containing the SARS-COV-2 genome, and subcultured for virus isolation. After culturing, viral replication in the cell supernatant was assessed. RESULTS: Of the samples collected from 74 COVID-19 patients, SARS-CoV-2 was detected in 15 serum, urine, or stool samples. The virus detection rate in the serum, urine, and stool samples were 2.8% (9/323), 0.8% (2/247), and 10.1% (13/129), and the mean viral load was 1,210 +/- 1,861, 79 +/- 30, and 3,176 +/- 7,208 copy/muL, respectively. However, the SARS-CoV-2 was not isolated by the culture method from the samples that tested positive for the SARS-CoV-2 gene. CONCLUSION: While the virus remained detectable in the respiratory samples of COVID-19 patients for several days after hospitalization, its detection in the serum, urine, and stool samples was intermittent. Since the virus could not be isolated from the SARS-COV-2-positive samples, the risk of viral transmission via stool and urine is expected to be low.
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