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SARS-CoV-2 的持续存在:COVID-19 管理的新模式。

Persistence of SARS-CoV-2: a new paradigm of COVID-19 management.

机构信息

Department of Ecology, College of Science, Kufa University, Najaf, Iraq.

Department of Medical Laboratory Techniques, Osoul Aldeen University College, Baghdad, Iraq.

出版信息

Ann Ig. 2021 Sep-Oct;33(5):426-432. doi: 10.7416/ai.2021.2414. Epub 2021 Feb 11.

Abstract

Full attention must be given to the follow-up of patients recovered from Coronavirus disease 2019, which developed in Wuhan, China in December 2019. Among the most serious issues since the emergence of the Severe Acute Respiratory Syndrome Coronavirus 2 has been whether those who had it can experience a second episode of infection and what that implies for immunity. The earlier studies on COVID-19 disease focused primarily on the epidemiological, clinical, and radiological characteristics of patients with CO-VID-19. However, conclusions of these studies still require to be warranted by more careful design, larger sample size and statistically well structured studies. COVID-19 is an under-studied infection, and several aspects of viral transmission and clinical progress remain at present unclear. There is a concern about the persistence of SARS-CoV-2 on various surfaces and in the respiratory system of patients who have survi-ved. One of the most concerning issues since the emergence of the SARS-CoV-2 is persistence in patients and whether patients can be re-infected. After hospital discharge, recovered patients were reported to have positive SARS-CoV-2 test in China, Japan, and South Korea. In addition to the persistence of the virus, SARS-CoV-2 re-infection may occur in survivors. In this paper, we focused on the evidence of persistence and re-infection of SARS-CoV-2.

摘要

必须充分关注 2019 年 12 月在中国武汉发生的 2019 年冠状病毒病(COVID-19)康复患者的随访。自严重急性呼吸综合征冠状病毒 2 出现以来,最严重的问题之一是曾经感染过的人是否会经历第二次感染,以及这对免疫力意味着什么。早期关于 COVID-19 疾病的研究主要集中在 COVID-19 患者的流行病学、临床和影像学特征上。然而,这些研究的结论仍需要通过更仔细的设计、更大的样本量和统计学上结构良好的研究来证实。COVID-19 是一种研究不足的感染,目前病毒传播和临床进展的几个方面仍不清楚。人们担心 SARS-CoV-2 在存活患者的各种表面和呼吸系统中持续存在。自 SARS-CoV-2 出现以来,最令人担忧的问题之一是患者的持续存在以及患者是否会再次感染。在中国、日本和韩国,有报道称出院后的康复患者 SARS-CoV-2 检测呈阳性。除了病毒的持续存在外,SARS-CoV-2 再感染可能发生在幸存者中。在本文中,我们重点关注 SARS-CoV-2 持续存在和再感染的证据。

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