1. Patients with Prolonged Positivity of SARS-CoV-2 RNA Benefit from Convalescent Plasma Therapy: A Retrospective Study
- Author
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Shangwen Pan, Lianguo Ruan, You Shang, Yongran Wu, Lu Chen, Lehao Ren, Ke Hong, Jiqian Xu, Chaolin Huang, Jiancheng Zhang, and Xiaobo Yang
- Subjects
Male ,0301 basic medicine ,China ,medicine.medical_specialty ,Convalescent plasma ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,030106 microbiology ,Immunology ,Convalescent plasma therapy ,Antibodies, Viral ,Virus ,03 medical and health sciences ,Medical microbiology ,Virology ,Internal medicine ,Humans ,Medicine ,COVID-19 Serotherapy ,Aged ,Retrospective Studies ,SARS-CoV-2 ,business.industry ,Immunization, Passive ,COVID-19 ,RNA ,Retrospective cohort study ,Length of Stay ,Middle Aged ,Viral Load ,030104 developmental biology ,RNA, Viral ,Molecular Medicine ,Female ,business ,Viral load ,Research Article ,Prolonged positivity - Abstract
Convalescent plasma therapy has been implemented in a few cases of severe coronavirus disease 2019. No report about convalescent plasma therapy in treating patients with prolonged positivity of SARS-CoV-2 RNA has been published. In this study, we conducted a retrospective observational study in 27 patients with prolonged positivity of SARS-CoV-2 RNA, the clinical benefit of convalescent plasma therapy were analyzed. qRT-PCR test of SARS-CoV-2 RNA turned negative (≤ 7 days) in a part of patients (early negative group, n = 15) after therapy, others (late negative group, n = 12) turned negative in more than 7 days. Pulmonary imaging improvement was confirmed in 7 patients in early negative group and 8 in late negative group after CP therapy. Viral load decreased in early negative group compared with late negative group at day 3, 5, 7 after implementing convalescent plasma therapy. Patients in early negative group had a shorter median length of hospital stay. In conclusion, convalescent plasma therapy might help eliminate virus and shorten length of hospital stay in patients with prolonged positivity of SARS-CoV-2 RNA.
- Published
- 2020
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