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.
基金:
National Science and Technology of China [2020YFC0861100, 2020YFC0840900]; Natural Science Foundation of China [81822028, 82041013]; Strategic Priority Research Program of the CAS [XDB29010204]
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
通讯作者:
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
推荐引用方式(GB/T 7714):
Li Qian,Zheng Xiao-Shuang,Shen Xu-Rui,et al.Prolonged shedding of severe acute respiratory syndrome coronavirus 2 in patients with COVID-19[J].EMERGING MICROBES & INFECTIONS.2020,9(1):2571-2577.doi:10.1080/22221751.2020.1852058.
APA:
Li, Qian,Zheng, Xiao-Shuang,Shen, Xu-Rui,Si, Hao-Rui,Wang, Xi...&Zhou, Peng.(2020).Prolonged shedding of severe acute respiratory syndrome coronavirus 2 in patients with COVID-19.EMERGING MICROBES & INFECTIONS,9,(1)
MLA:
Li, Qian,et al."Prolonged shedding of severe acute respiratory syndrome coronavirus 2 in patients with COVID-19".EMERGING MICROBES & INFECTIONS 9..1(2020):2571-2577