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10.1093/cid/ciaa1579

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suck abstract from ncbi


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pmid33098412      Clin+Infect+Dis 2021 ; 73 (9): e2952-e2959
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  • Cell-based Culture Informs Infectivity and Safe De-Isolation Assessments in Patients with Coronavirus Disease 2019 #MMPMID33098412
  • Basile K; McPhie K; Carter I; Alderson S; Rahman H; Donovan L; Kumar S; Tran T; Ko D; Sivaruban T; Ngo C; Toi C; O'Sullivan MV; Sintchenko V; Chen SC; Maddocks S; Dwyer DE; Kok J
  • Clin Infect Dis 2021[Nov]; 73 (9): e2952-e2959 PMID33098412show ga
  • BACKGROUND: The detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA by reverse-transcription polymerase chain reaction (PCR) does not necessarily indicate shedding of infective virions. There are limited data on the correlation between the isolation of SARS-CoV-2, which likely indicates infectivity, and PCR. METHODS: A total of 195 patients with Coronavirus disease 2019 were tested (outpatients, n = 178; inpatients, n = 12; and critically unwell patients admitted to the intensive care unit [ICU] patients, n = 5). SARS-CoV-2 PCR-positive samples were cultured in Vero C1008 cells and inspected daily for cytopathic effect (CPE). SARS-CoV-2-induced CPE was confirmed by PCR of culture supernatant. Where no CPE was observed, PCR was performed on day 4 to confirm absence of virus replication. The cycle thresholds (Cts) of the day 4 PCR (Ctculture) and the PCR of the original clinical sample (Ctsample) were compared, and positive cultures were defined where Ctsample - Ctculture was >/=3. RESULTS: Of 234 samples collected, 228 (97%) were from the upper respiratory tract. SARS-CoV-2 was isolated from 56 (24%), including in 28 of 181 (15%), 19 of 42 (45%), and 9 of 11 samples (82%) collected from outpatients, inpatients, and ICU patients, respectively. All 56 samples had Ctsample
  • |*COVID-19[MESH]
  • |Animals[MESH]
  • |Chlorocebus aethiops[MESH]
  • |Critical Care[MESH]
  • |Humans[MESH]
  • |Immunologic Tests[MESH]
  • |SARS-CoV-2[MESH]


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