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First name
Jingjing
Last name
Zeng
    Description
    Scientific peer-reviewed publication
    Description/abstract

    Objective: Low viral load from patients infected with SARS-CoV-2 during infection late stage easily lead to false negative nucleic acid testing results, thus having great challenges to the prevention and control of the current pandemic. In present study, we mainly aimed to evaluate specimen types and specimen collection timepoint on the positive detection of 2019 novel coronavirus from patients at infection late stage based on RT-PCR testing. Methods: Paired nasopharyngeal swabs, nasal swabs, oropharyngeal swabs and anal swabs were collected from patients infected with SARS-CoV-2 during infection late stage before washing in the morning and afternoon on the same day. Then virus RNA was extracted and tested for 2019-nCoV identification by RT-PCR within 24 h. Results: Viral load was low at late infection stage. Specimens collected before washing in the morning would increase the detection ratio of 2019-nCoV. Detection ratio of nasopharyngeal swab [65 (95 % CI: 49.51-77.87) vs 42.5(95 % CI: 28.51-57.8)] or nasal swab [57.5 (95 % CI: 42.2-71.49) vs 35 (95 % CI: 22.13-50.49)] is higher not only than oropharyngeal swab[22.5 (95 % CI: 12.32-37.5) vs 7.5 (95 % CI: 2.58-19.86)], but also anal swab[2.5 (95 % CI: 0.44-12.88) vs 5 (95 % CI: 1.38-16.5)]. Conclusions: In summary, our research discovers that nasopharyngeal or nasal swab collected before washing in the morning might be more suitable for detecting of large-scale specimens from patients infected with low SARS-CoV-2 load during infection late stage. Those results could facilitate other laboratories in collecting appropriate specimens for improving detection of SARS-CoV-2 from patients during infection late stage as well as initially screening.

    Publication Language
    English
    Free Keywords
    Policy measures
    Topics
    Health status » Morbidity/disability » Communicable diseases » Covid-19;
    Policy » Adherence/ compliance to measure
    ISSN Number
    0166-0934
    Access rights to the publication
    Closed access
    Country(ies)
    Country outside Europe
    Journal
    Journal of Virological Methods
    Publisher
    Elsevier BV
    Year of Publication
    2020
    Volume
    286
    Pages
    113974
    Corresponding author
    Chunhua Luo
    Contact e-mail
    lchlgj2004@aliyun.com
    Contact info (address)

    The First College of Clinical Medical Science, China Three Gorges University, Yichang, China