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10.1093/infdis/jiab394

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34329473!8436374!34329473
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suck abstract from ncbi


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pmid34329473      J+Infect+Dis 2021 ; 224 (8): 1325-1332
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  • Severe Acute Respiratory Syndrome Coronavirus 2 Normalized Viral Loads and Subgenomic RNA Detection as Tools for Improving Clinical Decision Making and Work Reincorporation #MMPMID34329473
  • Santos Bravo M; Nicolas D; Berengua C; Fernandez M; Hurtado JC; Tortajada M; Barroso S; Vilella A; Mosquera MM; Vila J; Marcos MA
  • J Infect Dis 2021[Oct]; 224 (8): 1325-1332 PMID34329473show ga
  • BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse-transcription polymerase chain reaction (RT-PCR) provides a highly variable cycle threshold (Ct) value that cannot distinguish viral infectivity. Subgenomic ribonucleic acid (sgRNA) has been used to monitor active replication. Given the importance of long RT-PCR positivity and the need for work reincorporation and discontinuing isolation, we studied the functionality of normalized viral loads (NVLs) for patient monitoring and sgRNA for viral infectivity detection. METHODS: The NVLs measured through the Nucleocapsid and RNA-dependent-RNA-polymerase genes and sgRNA RT-PCRs were performed in 2 consecutive swabs from 84 healthcare workers. RESULTS: The NVLs provided similar and accurate quantities of both genes of SARS-CoV-2 at 2 different timepoints of infection, overcoming Ct-value and swab collection variability. Among SARS-CoV-2-positive samples, 51.19% were sgRNA-positive in the 1st RT-PCR and 5.95% in the 2nd RT-PCR. All sgRNA-positive samples had >4 log10 RNA copies/1000 cells, whereas samples with
  • |Adult[MESH]
  • |Aftercare/standards[MESH]
  • |COVID-19 Nucleic Acid Testing/statistics & numerical data[MESH]
  • |COVID-19/*diagnosis/therapy/transmission/virology[MESH]
  • |Clinical Decision-Making/methods[MESH]
  • |Epidemiological Monitoring[MESH]
  • |Female[MESH]
  • |Health Personnel/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nasopharynx/pathology/virology[MESH]
  • |RNA, Viral/isolation & purification[MESH]
  • |SARS-CoV-2/genetics/*isolation & purification/pathogenicity[MESH]


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