Full Text:   <2351>

Summary:  <2037>

CLC number: R511

On-line Access: 2020-05-19

Received: 2020-03-12

Revision Accepted: 2020-04-12

Crosschecked: 2020-05-08

Cited: 0

Clicked: 5251

Citations:  Bibtex RefMan EndNote GB/T7714

 ORCID:

Ji-Fang Sheng

https://orcid.org/0000-0003-0732-1555

-   Go to

Article info.
Open peer comments

Journal of Zhejiang University SCIENCE B 2020 Vol.21 No.5 P.408-410

http://doi.org/10.1631/jzus.B2000117


Transmission risk of patients with COVID-19 meeting discharge criteria should be interpreted with caution


Author(s):  Jun-Wei Su, Wen-Rui Wu, Guan-Jing Lang, Hong Zhao, Ji-Fang Sheng

Affiliation(s):  Department of Infectious Diseases, State Key Laboratory for the Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for the Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding email(s):   jifang_sheng@zju.edu.cn

Key Words:  Coronavirus disease 2019 (COVID-19), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Real-time polymerase chain reaction (RT-PCR)


Jun-Wei Su, Wen-Rui Wu, Guan-Jing Lang, Hong Zhao, Ji-Fang Sheng. Transmission risk of patients with COVID-19 meeting discharge criteria should be interpreted with caution[J]. Journal of Zhejiang University Science B, 2020, 21(5): 408-410.

@article{title="Transmission risk of patients with COVID-19 meeting discharge criteria should be interpreted with caution",
author="Jun-Wei Su, Wen-Rui Wu, Guan-Jing Lang, Hong Zhao, Ji-Fang Sheng",
journal="Journal of Zhejiang University Science B",
volume="21",
number="5",
pages="408-410",
year="2020",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2000117"
}

%0 Journal Article
%T Transmission risk of patients with COVID-19 meeting discharge criteria should be interpreted with caution
%A Jun-Wei Su
%A Wen-Rui Wu
%A Guan-Jing Lang
%A Hong Zhao
%A Ji-Fang Sheng
%J Journal of Zhejiang University SCIENCE B
%V 21
%N 5
%P 408-410
%@ 1673-1581
%D 2020
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B2000117

TY - JOUR
T1 - Transmission risk of patients with COVID-19 meeting discharge criteria should be interpreted with caution
A1 - Jun-Wei Su
A1 - Wen-Rui Wu
A1 - Guan-Jing Lang
A1 - Hong Zhao
A1 - Ji-Fang Sheng
J0 - Journal of Zhejiang University Science B
VL - 21
IS - 5
SP - 408
EP - 410
%@ 1673-1581
Y1 - 2020
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B2000117


Abstract: 
As of Apr. 22, 2020, the World Health Organization (2020) has reported over 2.4 million confirmed coronavirus disease 2019 (COVID-19) patients and 169 151 deaths. Recent articles have uncovered genomic characteristics and clinical features of COVID-19 (Chan et al., 2020; Chang et al., 2020; Guan et al., 2020; Zhu et al., 2020), while our understanding of COVID-19 is still limited. As suggested by guidelines promoted by the General Office of National Health Commission of the People’s Republic of China (2020) (from Versions 1 to 6), discharged standards for COVID-19 were still dependent on viral real-time polymerase chain reaction (RT-PCR) tests of respiratory specimens, showing that recovered COVID-19 patients with twice negative RT-PCR could meet discharge criteria. Here, we examined two cases in which nucleic acid test results were inconsistent with clinical and radiological findings, leading to suboptimal care.

需谨慎考虑符合出院标准的2019冠状病毒病患者的传染性

概要:目前全球新型冠状病毒流行形势仍严峻且持续恶化.评估符合出院标准的2019冠状病毒病(COVID-19)患者的传染性对于疾病控制至关重要.本研究报告两例核酸检测结果与临床表现及影像学表现不相符的患者,以此来呼吁临床工作者谨慎考虑符合出院标准的COVID-19患者的传染性.
关键词:2019冠状病毒病(COVID-19);新型冠状病毒(SARS-CoV-2);实时聚合酶链式反应(RT-PCR)

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

[1]Chan JF, Kok KH, Zhu Z, et al., 2020. Genomic characterization of the 2019 novel human-pathogenic coronavirus isolated from a patient with atypical pneumonia after visiting Wuhan. Emerg Microbes Infect, 9(1):221-236.

[2]Chang D, Lin MG, Wei L, et al., 2020. Epidemiologic and clinical characteristics of novel coronavirus infections involving 13 patients outside Wuhan, China. JAMA, 323(11):1092-1093.

[3]Fang LQ, Tang F, Fontanet A, et al., 2004. Long-term SARS coronavirus excretion from patient cohort, China. Emerg Infect Dis, 10(10):1841-1843.

[4]General Office of National Health Commission of the People’s Republic of China, 2020. Diagnosis and treatment of pneumonitis caused by new coronavirus (Trial Version 6). http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2.shtml [Accessed on Feb. 20, 2020] (in Chinese).

[5]Guan WJ, Ni ZY, Hu Y, et al., 2020. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med, in press.

[6]Huang CL, Wang YM, Li XW, et al., 2020. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223):497-506.

[7]Shi HS, Han XY, Jiang NC, et al., 2020. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis, 20(4):425-434.

[8]World Health Organization, 2020. Coronavirus disease (COVID-19) pandemic. World Health Organization. https://www.who.int/emergencies/diseases/novel-coronavirus-2019 [Accessed on Apr. 22, 2020].

[9]Xia JH, Tong JP, Liu MY, et al., 2020. Evaluation of coronavirus in tears and conjunctival secretions of patients with SARS-CoV-2 infection. J Med Virol, 92(6):589-594.

[10]Zhu N, Zhang DY, Wang WL, et al., 2020. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med, 382:727-733.

Open peer comments: Debate/Discuss/Question/Opinion

<1>

Please provide your name, email address and a comment





Journal of Zhejiang University-SCIENCE, 38 Zheda Road, Hangzhou 310027, China
Tel: +86-571-87952783; E-mail: cjzhang@zju.edu.cn
Copyright © 2000 - 2024 Journal of Zhejiang University-SCIENCE