Li Youjiang, Hu Yingying, Zhang Xiaodong, Yu Yuanyuan, Li Bin, Wu Jianguo, Wu Yingping, Xia Xiaoping, Xu Jian
Clinical Laboratory, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China.
Department of Gynecology and Obstetrics, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang Province, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2020 May 25;49(2):270-274. doi: 10.3785/j.issn.1008-9292.2020.03.11.
To investigate the clinical outcome of patients with moderate type of coronavirus disease 2019 (COVID-19) after discharge by retesting viral nucleic acid.
Seven patients with moderate COVID-19 met the discharge criteria enacted by National Health Commission were quarantined in hospital for 7 days, then continuously quarantined at home for 4 weeks after discharged. During the quarantined period, the symptoms and signs were documented, and sputum or nasal swab and feces samples were collected to test SARS-CoV-2 nucleic acid by RT-PCR method.
There was no symptoms and signs during the quarantine period in all 7 patients. However, respiratory swabs from 3 patients were confirmed positive of SARS-CoV-2 nucleic acid at 5 to 7 days after they met the discharge criteria.
There is a relatively high incidence of positive viral nucleic acid in patients met the discharge criteria, and it is suggested that patients met the current discharge criteria should be quarantined in hospital for another 7 days and the follow-up viral testing is necessary.
通过重新检测病毒核酸来调查中度新型冠状病毒肺炎(COVID-19)患者出院后的临床结局。
7例符合国家卫生健康委员会制定的出院标准的中度COVID-19患者在医院隔离7天,出院后再居家连续隔离4周。在隔离期间,记录症状和体征,并采集痰液或鼻咽拭子及粪便样本,采用逆转录聚合酶链反应(RT-PCR)法检测严重急性呼吸综合征冠状病毒2(SARS-CoV-2)核酸。
7例患者在隔离期间均无任何症状和体征。然而,3例患者在达到出院标准后5至7天的呼吸道拭子中SARS-CoV-2核酸检测呈阳性。
达到出院标准的患者病毒核酸阳性发生率相对较高,建议达到现行出院标准的患者应在医院再隔离7天,且有必要进行后续病毒检测。