Wismans Leonoor V, Fanoy Ewout B, van Eijck Casper H J, van der Eijk Annemiek A
Erasmus MC, Rotterdam: Afd. Heelkunde.
Contact: Leonoor V. Wismans (
Ned Tijdschr Geneeskd. 2020 Dec 15;165:D5622.
The Dutch test capacity to detect the SARS-CoV-2 virus has increased enormously since the start of the COVID-19 pandemic. As a consequence of ongoing spreading of the virus, tests are also increasingly being carried out among people without COVID-19 related symptoms. Preventive testing for SARS-CoV-2 is especially performed in sectors in which early detection of the virus is essential, for instance in the professional sports sector. The guideline of the RIVM states that people who have tested positive for SARS-CoV-2 but without COVID-19 related symptoms are advised to stay in isolation for five days from time of the test. However, this guideline is not suitable for people who are diagnosed in a very early stage of the infection as a result of preventive testing. They are likely to leave isolation during the most contagious phase of the infection. In this paper, we argue that people who are positive for SARS-CoV-2, but without COVID-19 related symptoms, after a preventive test should be advised to isolate longer than five days.
自新冠疫情开始以来，荷兰检测严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒的能力大幅提高。由于病毒的持续传播，对没有新冠相关症状的人群也越来越多地进行检测。对SARS-CoV-2的预防性检测尤其在病毒早期检测至关重要的部门进行，例如职业体育部门。荷兰公共卫生与环境研究所（RIVM）的指南指出，SARS-CoV-2检测呈阳性但没有新冠相关症状的人，建议从检测之时起隔离五天。然而，该指南不适用于因预防性检测而在感染极早期被诊断出的人群。他们很可能在感染的最具传染性阶段就结束隔离。在本文中，我们认为，经过预防性检测后SARS-CoV-2呈阳性但没有新冠相关症状的人，应被建议隔离超过五天。
