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10.1016/j.ijid.2020.07.070

http://scihub22266oqcxt.onion/10.1016/j.ijid.2020.07.070
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suck abstract from ncbi


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pmid32763446      Int+J+Infect+Dis 2020 ; 99 (ä): 279-285
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  • Patterns of viral clearance in the natural course of asymptomatic COVID-19: Comparison with symptomatic non-severe COVID-19 #MMPMID32763446
  • Uhm JS; Ahn JY; Hyun J; Sohn Y; Kim JH; Jeong SJ; Ku NS; Choi JY; Park YK; Yi HS; Park SK; Kim BO; Kim H; Choi J; Kang SM; Choi YH; Yoon HK; Jung S; Kim HN; Yeom JS; Park YS
  • Int J Infect Dis 2020[Oct]; 99 (ä): 279-285 PMID32763446show ga
  • OBJECTIVES: The aim of this study was to elucidate patterns of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) clearance in the natural course of asymptomatic coronavirus disease 2019 (COVID-19). METHODS: Consecutive patients with non-severe COVID-19 were included retrospectively. Asymptomatic patients with a normal body temperature and no evidence of pneumonia throughout the disease course were assigned to the asymptomatic group. The reverse transcription PCR (RT-PCR) assay was repeated every two to five days after the first follow-up RT-PCR assay. Negative conversion was defined as two consecutive negative RT-PCR assay results within a 24-h interval. Rebound of the cycle threshold (Ct) value was defined as negative from the single RT-PCR assay and positive from the following assay. RESULTS: Among a total of 396 patients identified (median age 42.5 years (interquartile range (IQR) 25.0-55.0 years), 35.6% male), 68 (17.2%) were assigned to the asymptomatic group and 328 (82.8%) to the symptomatic group. The time until negative conversion was significantly shorter in the asymptomatic group than in the symptomatic group: median 14.5 days (IQR 11.0-21.0 days) and 18.0 days (IQR 15.0-22.0 days), respectively (p = 0.001). Rebound of Ct values was observed in 78 patients (19.7%). CONCLUSIONS: Time until negative conversion is shorter in asymptomatic COVID-19 than in symptomatic COVID-19. Rebound of Ct values is not uncommon.
  • |*Pandemics[MESH]
  • |Adult[MESH]
  • |Asymptomatic Diseases[MESH]
  • |Betacoronavirus/*genetics[MESH]
  • |COVID-19[MESH]
  • |Cohort Studies[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology/virology[MESH]
  • |Disease Progression[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology/virology[MESH]
  • |Republic of Korea/epidemiology[MESH]
  • |Retrospective Studies[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2[MESH]


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