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Duration and key determinants of infectious virus shedding in hospitalized patients with coronavirus disease-2019 (COVID-19)

Authors :
Richard Molenkamp
Nisreen M.A. Okba
Menno M. van der Eerden
Corine H. GeurtsvanKessel
Annelies Verbon
Eric C. M. van Gorp
Herold J. Metselaar
Jeroen J. A. van Kampen
Rogier A.S. Hoek
Henrik Endeman
Pieter L. A. Fraaij
Charles A. Boucher
Mart M. Lamers
Bart L. Haagmans
Jurriaan E. M. de Steenwinkel
Dennis A. Hesselink
Georgina I. Aron
Marion Koopmans
David A. M. C. van de Vijver
Sander van Boheemen
Jolanda J.C. Voermans
Diederik Gommers
Annemiek A. van der Eijk
Jan J. Cornelissen
Johannes P. C. van den Akker
Virology
Pediatrics
Intensive Care
Hematology
Pulmonary Medicine
Internal Medicine
Gastroenterology & Hepatology
Medical Microbiology & Infectious Diseases
Source :
Nature Communications, Nature Communications, 12(1):267. Nature Publishing Group, Nature Communications, Vol 12, Iss 1, Pp 1-6 (2021)
Publication Year :
2021
Publisher :
Nature Publishing Group, 2021.

Abstract

Key questions in COVID-19 are the duration and determinants of infectious virus shedding. Here, we report that infectious virus shedding is detected by virus cultures in 23 of the 129 patients (17.8%) hospitalized with COVID-19. The median duration of shedding infectious virus is 8 days post onset of symptoms (IQR 5–11) and drops below 5% after 15.2 days post onset of symptoms (95% confidence interval (CI) 13.4–17.2). Multivariate analyses identify viral loads above 7 log10 RNA copies/mL (odds ratio [OR] of 14.7 (CI 3.57-58.1; p<br />Duration of infectious SARS-CoV-2 shedding is an important measure for improved disease control. Here, the authors use virus cultures of respiratory tract samples from COVID-19 patients and observe a median shedding duration of 8 days and a drop below 5% after 15,2 days post onset of symptoms.

Details

Language :
English
ISSN :
20411723
Volume :
12
Issue :
1
Database :
OpenAIRE
Journal :
Nature Communications
Accession number :
edsair.doi.dedup.....a8f6c1a3c9d3b48c0ccca29be8ce8cf7