Inoculum at the time of SARS-CoV-2 exposure and risk of disease severity

被引:79
|
作者
Guallar, Maria Pilar [1 ,2 ,3 ,4 ]
Meirino, Rosa [5 ]
Donat-Vargas, Carolina [1 ,6 ]
Corral, Octavio [7 ]
Jouve, Nicolas [7 ]
Soriano, Vicente [8 ,9 ]
机构
[1] Univ Autonoma Madrid, Med Sch, Dept Prevent Med Publ Hlth & Microbiol, Madrid, Spain
[2] IdiPAZ, Madrid, Spain
[3] CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain
[4] CEI UAM CSIC, IMDEA Food Inst, Madrid, Spain
[5] Clin Univ Navarra, Oncol Dept, Madrid, Spain
[6] Karolinska Inst, Environm Med Inst IMM, Nutr & Cardiovasc Epidemiol Unit, Stockholm, Sweden
[7] Alcala Univ, Genet Dept, Madrid, Spain
[8] UNIR, Med Ctr, Calle Almansa 101, Madrid 28040, Spain
[9] UNIR, Hlth Sci Sch, Calle Almansa 101, Madrid 28040, Spain
关键词
coronavirus; COVID-19; inoculum; outbreak; transmission; epidemiology; disease severity;
D O I
10.1016/j.ijid.2020.06.035
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A relationship between the infecting dose and the risk of disease severity has not been demonstrated for SARS-CoV-2 infection. Here, we report three clusters of individuals that were potentially exposed to distinct inoculum in Madrid. Overall each group developed divergent clinical forms of COVID-19. Our data support that a greater viral inoculum at the time of SARS-CoV-2 exposure might determine a higher risk of severe COVID-19. (c) 2020 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:290 / 292
页数:3
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