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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Infect+Dis
2020 ; 222
(6
): 910-918
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Clinical Characteristics and Factors Associated With Long-Term Viral Excretion in
Patients With Severe Acute Respiratory Syndrome Coronavirus 2 Infection: a
Single-Center 28-Day Study
#MMPMID32614392
Shi D
; Wu W
; Wang Q
; Xu K
; Xie J
; Wu J
; Lv L
; Sheng J
; Guo J
; Wang K
; Fang D
; Li Y
; Li L
J Infect Dis
2020[Aug]; 222
(6
): 910-918
PMID32614392
show ga
BACKGROUND: Despite the ongoing spread of coronavirus disease 2019 (COVID-19),
knowledge about factors affecting prolonged viral excretion is limited. METHODS:
In this study, we retrospectively collected data from 99 hospitalized patients
with coronavirus disease 2019 (COVID-19) between 19 January and 17 February 2020
in Zhejiang Province, China. We classified them into 2 groups based on whether
the virus test results eventually became negative. Cox proportional hazards
regression was used to evaluate factors associated with severe acute respiratory
syndrome coronavirus 2 (SARS-CoV-2) shedding. RESULTS: Among 99 patients, 61
patients had SARS-CoV-2 clearance (virus-negative group), but 38 patients had
sustained positive results (virus-positive group). The median duration of
SARS-CoV-2 excretion was 15 (interquartile range, 12-19) days among the
virus-negative patients. The shedding time was significantly increased if the
fecal SARS-CoV-2 RNA test result was positive. Male sex (hazard ratio [HR], 0.58
[95% confidence interval {CI}, .35-.98]), immunoglobulin use (HR, 0.42 [95% CI,
.24-.76]), APACHE II score (HR, 0.89 [95% CI, .84-.96]), and lymphocyte count
(HR, 1.81 [95% CI, 1.05-3.1]) were independent factors associated with a
prolonged duration of SARS-CoV-2 shedding. Antiviral therapy and corticosteroid
treatment were not independent factors. CONCLUSIONS: SARS-CoV-2 RNA clearance
time was associated with sex, disease severity, and lymphocyte function. The
current antiviral protocol and low-to-moderate dosage of corticosteroid had
little effect on the duration of viral excretion.