4.7 Article

The Issue of Recurrently Positive Patients Who Recovered From COVID-19 According to the Current Discharge Criteria: Investigation of Patients from Multiple Medical Institutions in Wuhan, China

Journal

JOURNAL OF INFECTIOUS DISEASES
Volume 222, Issue 11, Pages 1784-1788

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jiaa301

Keywords

COVID-19 pneumonia; recurrently positive; SARS-CoV-2 virus; RT-PCR detection

Funding

  1. National Natural Science Foundation of China [81770981]
  2. Wuhan Municipality Young and Middle-aged Medical Talent Cultivation Program [[2018]116]

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The current discharge criteria for COVID-19 require that patients have 2 consecutive negative results for reverse transcription polymerase chain reaction (RT-PCR) detection. Here, we observed that recurrent positive RT-PCR test results in patients with 3 consecutive negative results (5.4%) were significantly decreased compared with those in patients with 2 consecutive negative results (20.6%); such patients reported positive RT-PCR test results within 1 to 12 days after meeting the discharge criteria. These results confirmed that many recovered patients could show a positive RT-PCR test result, and most of these patients could be identified by an additional RT-PCR test prior to discharge.

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