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A study on infectivity of asymptomatic SARS-CoV-2 carriers

BACKGROUND: An ongoing outbreak of coronavirus disease 2019 (COVID-19) has spread around the world. It is debatable whether asymptomatic COVID-19 virus carriers are contagious. We report here a case of the asymptomatic patient and present clinical characteristics of 455 contacts, which aims to study...

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Autores principales: Gao, Ming, Yang, Lihui, Chen, Xuefu, Deng, Yiyu, Yang, Shifang, Xu, Hanyi, Chen, Zixing, Gao, Xinglin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219423/
https://www.ncbi.nlm.nih.gov/pubmed/32513410
http://dx.doi.org/10.1016/j.rmed.2020.106026
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author Gao, Ming
Yang, Lihui
Chen, Xuefu
Deng, Yiyu
Yang, Shifang
Xu, Hanyi
Chen, Zixing
Gao, Xinglin
author_facet Gao, Ming
Yang, Lihui
Chen, Xuefu
Deng, Yiyu
Yang, Shifang
Xu, Hanyi
Chen, Zixing
Gao, Xinglin
author_sort Gao, Ming
collection PubMed
description BACKGROUND: An ongoing outbreak of coronavirus disease 2019 (COVID-19) has spread around the world. It is debatable whether asymptomatic COVID-19 virus carriers are contagious. We report here a case of the asymptomatic patient and present clinical characteristics of 455 contacts, which aims to study the infectivity of asymptomatic carriers. MATERIAL AND METHODS: 455 contacts who were exposed to the asymptomatic COVID-19 virus carrier became the subjects of our research. They were divided into three groups: 35 patients, 196 family members and 224 hospital staffs. We extracted their epidemiological information, clinical records, auxiliary examination results and therapeutic schedules. RESULTS: The median contact time for patients was four days and that for family members was five days. Cardiovascular disease accounted for 25% among original diseases of patients. Apart from hospital staffs, both patients and family members were isolated medically. During the quarantine, seven patients plus one family member appeared new respiratory symptoms, where fever was the most common one. The blood counts in most contacts were within a normal range. All CT images showed no sign of COVID-19 infection. No severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections was detected in 455 contacts by nucleic acid test. CONCLUSION: In summary, all the 455 contacts were excluded from SARS-CoV-2 infection and we conclude that the infectivity of some asymptomatic SARS-CoV-2 carriers might be weak.
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spelling pubmed-72194232020-05-13 A study on infectivity of asymptomatic SARS-CoV-2 carriers Gao, Ming Yang, Lihui Chen, Xuefu Deng, Yiyu Yang, Shifang Xu, Hanyi Chen, Zixing Gao, Xinglin Respir Med Article BACKGROUND: An ongoing outbreak of coronavirus disease 2019 (COVID-19) has spread around the world. It is debatable whether asymptomatic COVID-19 virus carriers are contagious. We report here a case of the asymptomatic patient and present clinical characteristics of 455 contacts, which aims to study the infectivity of asymptomatic carriers. MATERIAL AND METHODS: 455 contacts who were exposed to the asymptomatic COVID-19 virus carrier became the subjects of our research. They were divided into three groups: 35 patients, 196 family members and 224 hospital staffs. We extracted their epidemiological information, clinical records, auxiliary examination results and therapeutic schedules. RESULTS: The median contact time for patients was four days and that for family members was five days. Cardiovascular disease accounted for 25% among original diseases of patients. Apart from hospital staffs, both patients and family members were isolated medically. During the quarantine, seven patients plus one family member appeared new respiratory symptoms, where fever was the most common one. The blood counts in most contacts were within a normal range. All CT images showed no sign of COVID-19 infection. No severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections was detected in 455 contacts by nucleic acid test. CONCLUSION: In summary, all the 455 contacts were excluded from SARS-CoV-2 infection and we conclude that the infectivity of some asymptomatic SARS-CoV-2 carriers might be weak. Elsevier Ltd. 2020-08 2020-05-13 /pmc/articles/PMC7219423/ /pubmed/32513410 http://dx.doi.org/10.1016/j.rmed.2020.106026 Text en © 2020 Elsevier Ltd. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Gao, Ming
Yang, Lihui
Chen, Xuefu
Deng, Yiyu
Yang, Shifang
Xu, Hanyi
Chen, Zixing
Gao, Xinglin
A study on infectivity of asymptomatic SARS-CoV-2 carriers
title A study on infectivity of asymptomatic SARS-CoV-2 carriers
title_full A study on infectivity of asymptomatic SARS-CoV-2 carriers
title_fullStr A study on infectivity of asymptomatic SARS-CoV-2 carriers
title_full_unstemmed A study on infectivity of asymptomatic SARS-CoV-2 carriers
title_short A study on infectivity of asymptomatic SARS-CoV-2 carriers
title_sort study on infectivity of asymptomatic sars-cov-2 carriers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219423/
https://www.ncbi.nlm.nih.gov/pubmed/32513410
http://dx.doi.org/10.1016/j.rmed.2020.106026
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