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10.1007/s10096-020-04085-2

http://scihub22266oqcxt.onion/10.1007/s10096-020-04085-2
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suck abstract from ncbi


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pmid33123934      Eur+J+Clin+Microbiol+Infect+Dis 2021 ; 40 (4): 841-848
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  • Delayed hospital admission and high-dose corticosteroids potentially prolong SARS-CoV-2 RNA detection duration of patients with COVID-19 #MMPMID33123934
  • Hu Z; Li S; Yang A; Li W; Xiong X; Hu J; Jiang J; Song X
  • Eur J Clin Microbiol Infect Dis 2021[Apr]; 40 (4): 841-848 PMID33123934show ga
  • Coronavirus disease 2019 (COVID-19) with the infection of SARS-CoV-2 has become a serious pandemic worldwide. However, only few studies focused on risk factors of prolonged SARS-CoV-2 RNA detection among patients with COVID-19. We included 206 adult patients with laboratory-confirmed COVID-19 from two hospitals between 23 Jan and 1 April 2020. Least absolute shrinkage and selection operator (LASSO) analysis was used to screen out independent risk factors of SARS-CoV-2 RNA detection. By multivariate binomial logistic regression analysis and Cox regression analysis, we further determined the associations between SARS-CoV-2 RNA detection and potential risk factors. All patients had two negative SARS-CoV-2 tests with 33 days of median duration of SARS-CoV-2 RNA detection (interquartile range: 25.2-39 days). LASSO and binomial logistic regression analyses suggested that delayed hospital admission (adjusted OR = 3.70, 95% CI: 1.82-7.50), hypokalemia, and subpleural lesion (adjusted OR = 4.32, 95% CI: 1.10-16.97) were associated with prolonged SARS-CoV-2 RNA detection. By LASSO and multivariate Cox regression analyses, we observed that delayed hospital admission, subpleural lesion, and high-dose corticosteroid use were independent risk factors of prolonged SARS-CoV-2 RNA detection. Early hospital admission shortened 5.73 days of mean duration of SARS-CoV-2 RNA detection than delayed hospital admission after adjusting confounding factors. Our study demonstrated that delayed hospital admission and subpleural lesion were associated with prolonged SARS-CoV-2 RNA detection among patients with COVID-19. The use of high-dose corticosteroids should be interpreted with extreme caution in treating COVID-19.
  • |*Virus Shedding[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antiviral Agents/therapeutic use[MESH]
  • |COVID-19/*therapy[MESH]
  • |Female[MESH]
  • |Glucocorticoids/*administration & dosage[MESH]
  • |Hospitalization/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Logistic Models[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Noninvasive Ventilation[MESH]
  • |Oxygen Inhalation Therapy[MESH]
  • |Proportional Hazards Models[MESH]
  • |RNA, Viral/*isolation & purification[MESH]
  • |Respiration, Artificial[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |Thymosin/therapeutic use[MESH]
  • |Time Factors[MESH]


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