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Prolonged shedding of severe acute respiratory syndrome coronavirus 2 in patients with COVID-19

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单位: [1]Chinese Acad Sci, Ctr Biosafety Mega Sci, Wuhan Inst Virol, CAS Key Lab Special Pathogens, 44 Xiaohongshan, Wuhan 430071, Peoples R China [2]Chinese Acad Sci, Ctr Biosafety Mega Sci, Wuhan Inst Virol, State Key Lab Virol, 44 Xiaohongshan, Wuhan 430071, Peoples R China [3]Univ Chinese Acad Sci, Beijing, Peoples R China [4]Wuhan Municipal Hlth Commiss, Wuchang Branch, Wuhan, Peoples R China [5]Huazhong Univ Sci & Technol,NHC Key Lab Resp Dis,Ctr Biomed Res,Tongji Hosp,Tongji Med Coll,Wuhan,Peoples R China [6]Wuhan Pulm Hosp, Wuhan, Peoples R China [7]Wuhan Inst Virol, Joint Lab Infect Dis & Hlth, Wuhan, Peoples R China [8]Wuhan Inst Virol, Wuhan Jinyintan Hosp, Wuhan, Peoples R China
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关键词: SARS-CoV-2 COVID-19 long-term carrier prolonged shedding transmission risk

摘要:
Following acute infection, individuals COVID-19 may still shed SARS-CoV-2 RNA. However, limited information is available regarding the active shedding period or whether infectious virus is also shed. Here, we monitored the clinical characteristics and virological features of 38 patients with COVID-19 (long-term carriers) who recovered from the acute disease, but still shed viral RNA for over 3 months. The median carrying history of the long-term carriers was 92 days after the first admission, and the longest carrying history was 118 days. Negative-positive viral RNA-shedding fluctuations were observed. Long-term carriers were mostly elderly people with a history of mild infection. Infectious SARS-CoV-2 was isolated from the sputum, where high level viral RNA was found. All nine full-length genomes of samples obtained in March-April 2020 matched early viral clades circulating in January-February 2020, suggesting that these patients persistently carried SARS-CoV-2 and were not re-infected. IgM and IgG antibodies and neutralizing-antibody pro?les were similar between long-term carriers and recovered patients with similar disease courses. In summary, although patients with COVID-19 generated neutralizing antibodies, they may still shed infectious SARS-CoV-2 for over 3 months. These data imply that patients should be monitored after discharge to control future outbreaks.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 免疫学 2 区 微生物学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 传染病学 1 区 微生物学 2 区 免疫学
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出版当年[2018]版:
Q1 IMMUNOLOGY Q1 MICROBIOLOGY
最新[2024]版:
Q1 IMMUNOLOGY Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Chinese Acad Sci, Ctr Biosafety Mega Sci, Wuhan Inst Virol, CAS Key Lab Special Pathogens, 44 Xiaohongshan, Wuhan 430071, Peoples R China [2]Chinese Acad Sci, Ctr Biosafety Mega Sci, Wuhan Inst Virol, State Key Lab Virol, 44 Xiaohongshan, Wuhan 430071, Peoples R China [3]Univ Chinese Acad Sci, Beijing, Peoples R China
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通讯机构: [1]Chinese Acad Sci, Ctr Biosafety Mega Sci, Wuhan Inst Virol, CAS Key Lab Special Pathogens, 44 Xiaohongshan, Wuhan 430071, Peoples R China [2]Chinese Acad Sci, Ctr Biosafety Mega Sci, Wuhan Inst Virol, State Key Lab Virol, 44 Xiaohongshan, Wuhan 430071, Peoples R China [7]Wuhan Inst Virol, Joint Lab Infect Dis & Hlth, Wuhan, Peoples R China [8]Wuhan Inst Virol, Wuhan Jinyintan Hosp, Wuhan, Peoples R China
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