Re-positive coronavirus disease 2019 PCR test: could it be a reinfection?

被引:46
作者
Osman, A. A. [1 ]
Al Daajani, M. M. [2 ]
Alsahafi, A. J. [3 ]
机构
[1] Umm Al Qura Univ, Fac Publ Hlth & Hlth Informat, Dept Hlth Educ & Promot, Mecca, Saudi Arabia
[2] Minist Hlth, Publ Hlth Agcy, Prevent Med & Publ Hlth, Riyadh, Saudi Arabia
[3] Jeddah Hlth Affairs, Dept Publ Hlth, Jeddah, Saudi Arabia
关键词
Coronavirus disease 2019; CT scan; False-negative; Low viral load; RT-qPCR; Severe acute respiratory syndrome coronavirus 2; ACUTE RESPIRATORY SYNDROME; COVID-19; SARS-COV-2; RNA;
D O I
10.1016/j.nmni.2020.100748
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The coronavirus disease 2019 (COVID-19) outbreak started in December 2019 and rapidly spread around the globe as a major health threat. Several reports on re-positive cases subsequent to discharge from hospitals caught our attention. We aimed to highlight RT-qPCR positivity re-detection after discharge from isolation, with special consideration of the possible reasons behind it. We found that re-positive RT-qPCR assays for severe acute respiratory syndrome coronavirus 2 after previous negative results might be attributed to false-negative laboratory results and prolonged viral shedding, rather than to re-infection. These findings are encouraging and should be validated in a larger cohort. (C) 2020 The Authors. Published by Elsevier Ltd.
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页数:6
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共 39 条
  • [1] Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance
    不详
    [J]. PEDIATRIA I MEDYCYNA RODZINNA-PAEDIATRICS AND FAMILY MEDICINE, 2020, 16 (01): : 9 - 26
  • [2] False-negative results of initial RT-PCR assays for COVID-19: A systematic review
    Arevalo-Rodriguez, Ingrid
    Buitrago-Garcia, Diana
    Simancas-Racines, Daniel
    Zambrano-Achig, Paula
    Del Campo, Rosa
    Ciapponi, Agustin
    Sued, Omar
    Martinez-Garcia, Laura
    Rutjes, Anne W.
    Low, Nicola
    Bossuyt, Patrick M.
    Perez-Molina, Jose A.
    Zamora, Javier
    [J]. PLOS ONE, 2020, 15 (12):
  • [3] Bui TD, 2020, I S BIOMED IMAGING, P359, DOI [10.1109/isbi45749.2020.9098515, 10.1109/ISBI45749.2020.9098515]
  • [4] Assay Techniques and Test Development for COVID-19 Diagnosis
    Carter, Linda J.
    Garner, Linda, V
    Smoot, Jeffrey W.
    Li, Yingzhu
    Zhou, Qiongqiong
    Saveson, Catherine J.
    Sasso, Janet M.
    Gregg, Anne C.
    Soares, Divya J.
    Beskid, Tiffany R.
    Jervey, Susan R.
    Liu, Cynthia
    [J]. ACS CENTRAL SCIENCE, 2020, 6 (05) : 591 - 605
  • [5] Centers for Disease Control and Prevention, 2020, COR DIS 2019 COVID 1
  • [6] Positive conversion of COVID-19 after two consecutive negative RT-PCR results: A role of low-dose CT
    Chae, Kum Ju
    Jin, Gong Yong
    Lee, Chang-Seop
    Lee, Heung Bum
    Lee, Ju-Hyung
    Kwon, Keun-Sang
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2020, 129
  • [7] Recurrence of positive SARS-CoV-2 RNA in COVID-19: A case report
    Chen, Dabiao
    Xu, Wenxiong
    Lei, Ziying
    Huang, Zhanlian
    Liu, Jing
    Gao, Zhiliang
    Peng, Liang
    [J]. INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2020, 93 : 297 - 299
  • [8] COVID-19 Disease With Positive Fecal and Negative Pharyngeal and Sputum Viral Tests
    Chen, Lijuan
    Lou, Jianghua
    Bai, Yan
    Wang, Meiyun
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2020, 115 (05) : 790 - 790
  • [9] Re-evaluation of retested nucleic acid-positive cases in recovered COVID-19 patients: Report from a designated transfer hospital in Chongqing, China
    Chen, Yan
    Bai, Weizhi
    Liu, Bin
    Huang, Jian
    Laurent, Irakoze
    Chen, Feng
    Deng, Wuquan
    Xiao, Xiaoqiu
    [J]. JOURNAL OF INFECTION AND PUBLIC HEALTH, 2020, 13 (07) : 932 - 934
  • [10] Serial CT features in discharged COVID-19 patients with positive RT-PCR re-test
    Dou, Peipei
    Zhang, Shuai
    Wang, Chen
    Cai, Lulu
    Liu, Zhongxiao
    Xu, Qinghong
    Li, Xing
    Meng, Yankai
    Rong, Yutao
    Li, Shaodong
    Hu, Chunfeng
    Xu, Kai
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2020, 127