1. Characterization of SARS-CoV-2 Omicron variant shedding and predictors of viral culture positivity on vaccinated healthcare workers with mild COVID-19.
- Author
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Luna-Muschi, Alessandra, Noguera, Saidy Vásconez, Borges, Igor C, De Paula, Anderson V, Côrtes, Marina Farrel, Larocca, Carolina, Mari, Julia Ferreira, Pereira Guimarães, Lara Silva, Torres, Pablo Munoz, Scaccia, Nazareno, Villas-Boas, Lucy S, da Silva, Almir Ribeiro, Andrade, Pâmela S, Teixeira, Juliana C, Escadafal, Camille, de Oliveira, Victor Falcão, Tozetto-Mendoza, Tania R, Mendes-Correa, Maria Cássia, Levin, Anna S, and Sabino, Ester C
- Subjects
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SARS-CoV-2 , *SARS-CoV-2 Omicron variant , *COVID-19 , *MEDICAL personnel , *VIRAL shedding , *CORONAVIRUS diseases - Abstract
In this prospective cohort of 30 vaccinated healthcare-workers with mild Omicron variant infection, we evaluated viral culture, rapid antigen test(RAT), and RT-PCR of respiratory samples at days 5,7,10, and 14. Viral culture was positive in 46%(11/24) and 20%(6/30) of samples at days 5 and 7, respectively. RAT and RT-PCR(Ct≤35) showed 100% negative predictive value(NPV), with 32% and 17% of positive predictive values(PPV), respectively, for predicting viral culture positivity. A lower RT-PCR threshold(Ct≤24) improved culture prediction(PPV = 39%; NPV = 100%). Vaccinated persons with mild Omicron infection are potentially transmissible up to day 7. RAT and RT-PCR might be useful tools for shortening the isolation period. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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