Department of Orthopedics, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, PR China.
Department of Traditional Chinese Medicine, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, PR China.
PLoS One. 2020 Oct 2;15(10):e0240081. doi: 10.1371/journal.pone.0240081. eCollection 2020.
Given the global spread of coronavirus disease (COVID-19), strict discharge standard is of great significance for the prevention and control of the epidemic, thus, the purpose of this study is to formulate more strict and scientific discharge standards. A total of 845 patients with mild and general COVID-19 who were considered to be discharged from hospital were included in this study. The median time from the onset of COVID-19 to the occurrence of two consecutive negative nucleic acid tests of these patients was 21 days. 223 of the 845 patients were tested again after two consecutive negative nucleic acid tests and 17.49% of the patients were positive. Moreover, 82.51% (184 of 223) of these patients experienced negative results from three consecutive nucleic acid tests, the median time from the onset of COVID-19 to the occurrence of three consecutive negative nucleic acid tests was 23 days (range: 3-56 days), and 38 of which were further tested after three consecutive negative nucleic acid tests, while about 5.26% (2 of 38) patients showed positive nucleic acid test results. Thus, we suggested that the patient should be negative for at least 3 consecutive nucleic acid tests before discharge, and the test time should be no earlier than the 23rd day since the onset of the disease.
鉴于冠状病毒病(COVID-19)在全球范围内的传播,严格的出院标准对于疫情的防控具有重要意义,因此,本研究旨在制定更严格和科学的出院标准。本研究共纳入 845 例轻症和普通型 COVID-19 患者,认为这些患者可以出院。这些患者从 COVID-19 发病到连续两次核酸检测阴性的中位时间为 21 天。845 例患者中有 223 例在连续两次核酸检测阴性后再次检测,其中 17.49%(223 例中有 38 例)为阳性。此外,82.51%(223 例中有 184 例)的患者连续三次核酸检测结果为阴性,从 COVID-19 发病到连续三次核酸检测阴性的中位时间为 23 天(范围:3-56 天),其中 38 例进一步进行了三次连续核酸检测,而大约 5.26%(38 例中有 2 例)的患者核酸检测结果呈阳性。因此,我们建议患者至少连续 3 次核酸检测阴性后再出院,检测时间不应早于发病后第 23 天。