Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-25T21:38:43.632Z Has data issue: false hasContentIssue false

Use of a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) strand-specific assay to evaluate for prolonged viral replication >20 days from illness onset

Published online by Cambridge University Press:  29 June 2023

Jessica D. Ferguson*
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Ralph Tayyar
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Gustavo Contreras
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Melanie Kiener
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Alex N. Zimmet
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Caitlin A. Contag
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Guillermo Rodriguez Nava
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Lucy S. Tompkins
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
John Shepard
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Ayelet Rosenthal
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Aruna K. Subramanian
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Benjamin A. Pinsky
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
Jorge L. Salinas
Affiliation:
Stanford University School of Medicine and Stanford Hospital & Clinics, Stanford, California
*
Corresponding author: Jessica D. Ferguson; Email: jferg1@stanford.edu

Abstract

Severe acute respiratory coronavirus virus 2 (SARS-CoV-2) real-time reverse-transcription polymerase chain reaction (rRT-PCR) strand-specific assay can be used to identify active SARS-CoV-2 viral replication. We describe the characteristics of 337 hospitalized patients with at least 1 minus-strand SARS-CoV-2 assay performed >20 days after illness onset. This test is a novel tool to identify high-risk hospitalized patients with prolonged SARS-CoV-2 replication.

Type
Concise Communication
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION. These data were presented in a poster presentation at IDWeek 2022, October 22, 2022, in Washington, DC.

References

Rhee, C, Kanjilal, S, Baker, M, Klompas, M. Duration of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectivity: when is it safe to discontinue isolation? Clin Infect Dis 2021;72:14671474.10.1093/cid/ciaa1249CrossRefGoogle ScholarPubMed
Dioverti, V, Salto-Alejandre, S, Haidar, G. Immunocompromised patients with protracted COVID-19: a review of “long persisters.” Curr Transplant Rep 2022;9:209218.10.1007/s40472-022-00385-yCrossRefGoogle Scholar
Niyonkuru, M, Pedersen, RM, Assing, K, et al. Prolonged viral shedding of SARS-CoV-2 in two immunocompromised patients, a case report. BMC Infect Dis 2021;21:743.10.1186/s12879-021-06429-5CrossRefGoogle ScholarPubMed
Michalakis, Y, Sofonea, MT, Alizon, S, Bravo, IG. SARS-CoV-2 viral RNA levels are not ‘viral load.’ Trends Microbiol 2021;29:970972.10.1016/j.tim.2021.08.008CrossRefGoogle Scholar
Hogan, CA, Huang, C, Sahoo, MK, et al. Strand-specific reverse transcription PCR for detection of replicating SARS-CoV-2. Emerg Infect Dis 2021;27:632635.10.3201/eid2702.204168CrossRefGoogle ScholarPubMed
Alsuhaibani, MA, Kobayashi, T, Trannel, A, et al. Coronavirus disease 2019 (COVID-19) admission screening and assessment of infectiousness at an academic medical center in Iowa, 2020. Infect Control Hosp Epidemiol 2022;43:974978.10.1017/ice.2021.294CrossRefGoogle ScholarPubMed
Trannel, AM, Kobayashi, T, Dains, A, et al. Coronavirus disease 2019 (COVID-19) incidence after exposures in shared patient rooms in a tertiary-care center in Iowa, July 2020–May 2021. Infect Control Hosp Epidemiol 2022;43:19101913.10.1017/ice.2021.313CrossRefGoogle Scholar
Al Bayat, S, Mundodan, J, Hasnain, S, et al. Can the cycle threshold (Ct) value of RT-PCR test for SARS-CoV-2 predict infectivity among close contacts? J Infect Public Health 2021;14:12011205.10.1016/j.jiph.2021.08.013CrossRefGoogle ScholarPubMed
Basile, K, McPhie, K, Carter, I, et al. Cell-based culture informs infectivity and safe de-isolation assessments in patients with coronavirus disease 2019. Clin Infect Dis 2021;73:e2952e2959.10.1093/cid/ciaa1579CrossRefGoogle ScholarPubMed
Kute, V, Meshram, HS, Fleetwood, VA, Chauhan, S, Lentine, KL. Solid organ transplantation in SARS-CoV-2 recovered transplant candidates: a comprehensive review of recent literature. Curr Transplant Rep 2022;9:95107.10.1007/s40472-022-00362-5CrossRefGoogle ScholarPubMed