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阈值循环值能否正确反映 2019 年新型冠状病毒病(COVID-19)的严重程度?

Could threshold cycle value correctly reflect the severity of novel coronavirus disease 2019 (COVID-19)?

机构信息

Department of Clinical Infectious Diseases, Aichi Medical University Hospital, Aichi, Japan; Department of Infection Control and Prevention, Aichi Medical University Hospital, Japan.

Department of Infection Control and Prevention, Aichi Medical University Hospital, Japan.

出版信息

J Infect Chemother. 2021 Jan;27(1):117-119. doi: 10.1016/j.jiac.2020.09.010. Epub 2020 Sep 9.

DOI:10.1016/j.jiac.2020.09.010
PMID:32994136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7480734/
Abstract

The novel coronavirus disease 2019 (COVID-19) is diagnosed by positive result of reverse transcription polymerase chain reaction (RT-PCR) for the novel coronavirus. We concluded that cycle threshold value (Ct-value) of real-time RT-PCR (rRT-PCR) assay could decrease as patients recover. Results of rRT-PCR assay could remain positive among asymptomatic patients for longer than 2 weeks. The discharge criteria of COVID-19 patients using a negative result of rRT-PCR should be reconsidered.

摘要

2019 年新型冠状病毒病(COVID-19)的诊断依据是新型冠状病毒逆转录聚合酶链反应(RT-PCR)的阳性结果。我们得出结论,实时 RT-PCR(rRT-PCR)检测的循环阈值(Ct 值)随着患者的康复而降低。无症状患者的 rRT-PCR 检测结果可在 2 周以上仍为阳性。使用 rRT-PCR 检测结果阴性作为 COVID-19 患者出院标准应重新考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1abc/7480734/14b6cca62e7b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1abc/7480734/14b6cca62e7b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1abc/7480734/14b6cca62e7b/gr1_lrg.jpg

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