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中国武汉新冠病毒核酸检测复阳康复患者的特征:一项回顾性研究

Characteristics of recovered COVID-19 patients with recurrent positive RT-PCR findings in Wuhan, China: a retrospective study.

作者信息

Shui Tie-Jun, Li Chao, Liu Hong-Bing, Chen Xiaohua, Zhang Bi-Ke

机构信息

Yunnan Center for Disease Control and Prevention, Kunming, 650011, Yunnan, China.

Huangpi District Center for Disease Control and Prevention, Wuhan, 432200, China.

出版信息

BMC Infect Dis. 2020 Oct 13;20(1):749. doi: 10.1186/s12879-020-05463-z.

Abstract

BACKGROUND

Two months after the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, tens of thousands of hospitalized patients had recovered, and little is known about the follow-up of the recovered patients.

METHODS

The clinical characteristics, reverse transcriptase-polymerase chain reaction (RT-PCR) results from throat swab specimens and the results of serological COVID-19 rapid diagnostic test (RDT) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were retrospectively reviewed for a total of 758 recovered patients who were previously hospitalized in 17 hospitals and quarantined at 32 rehabilitation stations in Wuhan, China.

RESULTS

In total, 59 patients (7.78%) had recurrent positive findings for COVID-19 on RT-PCR from throat swabs. With regard to antibody detection, 50/59 (84.75%) and 4/59 (6.78%) patients had positive IgG or dual positive IgG/IgM RDT results, respectively.

CONCLUSIONS

Some patients who had been quarantined and had subsequently recovered from COVID-19 had recurrent positive RT-PCR results for SARS-CoV-2, and the possibility of transmission of the virus by recovered patients needs further investigation.

TRIAL REGISTRATION

Current Controlled Trials ChiCTR2000033580 , Jun 6th 2020. Retrospectively registered.

摘要

背景

在中国武汉爆发2019冠状病毒病(COVID-19)两个月后,数以万计的住院患者已康复,而对康复患者的随访情况知之甚少。

方法

回顾性分析了758例曾在中国武汉17家医院住院并在32个康复站隔离的康复患者的临床特征、咽拭子标本的逆转录聚合酶链反应(RT-PCR)结果以及严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的COVID-19血清学快速诊断试验(RDT)结果。

结果

共有59例患者(7.78%)咽拭子RT-PCR检测COVID-19呈复发性阳性。在抗体检测方面,50/59例(84.75%)和4/59例(6.78%)患者的RDT结果分别为IgG阳性或IgG/IgM双阳性。

结论

一些曾被隔离并随后从COVID-19康复的患者SARS-CoV-2的RT-PCR结果呈复发性阳性,康复患者传播病毒的可能性需要进一步调查。

试验注册

当前对照试验ChiCTR2000033580,2020年6月6日。回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a828/7557049/6a7088ba49a3/12879_2020_5463_Fig1_HTML.jpg

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