Should qualitative RT-PCR be used to determine release from isolation of COVID-19 patients?
- PMID: 32562790
- PMCID: PMC7299851
- DOI: 10.1016/j.jinf.2020.06.030
Should qualitative RT-PCR be used to determine release from isolation of COVID-19 patients?
Abstract
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COVID-19 patients may have persistently positive RT-PCRs for as many as 9 weeks.
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Some are being required to continue in isolation until they have negative results.
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SARS-CoV-2 qualitative RT-PCR does not distinguish infectious from noninfectious.
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Quantitative RT-PCRs and immunoassays are better markers of infectivity period.
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Social isolation can have economic, physical, psychological, and social effects.
Keywords: Coronavirus disease 2019 (COVID-19); Infectivity; Patient Isolation; Polymerase chain reaction (PCR); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); Social Isolation; Socioeconomic Impact; Virus Shedding.
Conflict of interest statement
Declaration of Competing Interest None
Comment in
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The determination of release from isolation of COVID-19 patients requires ultra-high sensitivity nucleic acid test technology.J Infect. 2021 Jan;82(1):159-198. doi: 10.1016/j.jinf.2020.06.075. Epub 2020 Jul 2. J Infect. 2021. PMID: 32622906 Free PMC article. No abstract available.
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Ct value is not enough to discriminate patients harbouring infective virus.J Infect. 2021 Mar;82(3):e35-e37. doi: 10.1016/j.jinf.2020.11.025. Epub 2020 Nov 26. J Infect. 2021. PMID: 33248218 Free PMC article. No abstract available.
References
-
- Liu W.D., Chang S.Y., Wang J.T., Tsai M.J., Hung C.C., Hsu C.L. Prolonged virus shedding even after seroconversion in a patient with COVID-19. J Infect [Internet] 2020 doi: 10.1016/j.jinf.2020.03.063. https://doi.org/ - DOI - PMC - PubMed
-
- Korea Centers for Disease Control and Prevention Division of Risk Assessment and International Cooperation. Findings from investigation and analysis of re-positive cases. 2020. Available from:https://www.cdc.go.kr/board/board.es?mid=a30402000000&bid=0030.
-
- National Centre for Infectious Diseases; Chapter of Infectious Disease Physicians of the Academy of Medicine of Singapore. Period of Infectivity to Inform Strategies for De-isolation for COVID-19 Patients. 2020. Available from:https://www.ams.edu.sg/view-pdf.aspx?file=media%5c5556_fi_331.pdf&ofile=....
-
- Bullard J., Dust K., Funk D., Strong J.E., Alexander D., Garnett L. Predicting infectious SARS-CoV-2 from diagnostic samples. Clin Infect Dis [Internet] 2020 doi: 10.1093/cid/ciaa638. ciaa638. https://doi.org/ - DOI - PMC - PubMed
-
- Centers of Disease Control and Prevention National Center for Immunization and Respiratory Diseases Division of Viral Diseases. Symptom-Based Strategy to Discontinue Isolation for Persons with COVID-19: decision Memo. 2020. Available from:https://www.cdc.gov/coronavirus/2019-ncov/community/strategy-discontinue....
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