Shui Tie-Jun, Li Chao, Liu Hong-Bing, Chen Xiaohua, Zhang Bi-Ke
Yunnan Center for Disease Control and Prevention, Kunming, 650011, Yunnan, China.
Huangpi District Center for Disease Control and Prevention, Wuhan, 432200, China.
BMC Infect Dis. 2020 Oct 13;20(1):749. doi: 10.1186/s12879-020-05463-z.
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.
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.
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.
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.
Current Controlled Trials ChiCTR2000033580 , Jun 6th 2020. Retrospectively registered.
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。
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。
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。
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。
当前对照试验ChiCTR2000033580,2020年6月6日。回顾性注册。