The correlation between viral shedding duration and blood biomarkers in COVID-19-infected patients

Bibliographic Details
Title: The correlation between viral shedding duration and blood biomarkers in COVID-19-infected patients
Authors: Somayeh Sadeghi, Peiman Nasri, Elahe Nasri, Hamid Solgi, Maryam Nasirian, Samaneh Pourajam, Hamed Fakhim, Hossein Mirhendi, Behrooz Ataei, Shadi Reisizadeh Mobarakeh
Source: Journal of Research in Medical Sciences, Vol 27, Iss 1, Pp 43-43 (2022)
Publisher Information: Wolters Kluwer Medknow Publications, 2022.
Publication Year: 2022
Collection: LCC:Medicine
Subject Terms: covid-19, c-reactive protein, lymphocyte count, real-time polymerase chain reaction, virus shedding, Medicine
More Details: Background: Since December 2019, the world is struggling with an outbreak of coronavirus disease-2019 (COVID-19) infection mostly represented as an acute respiratory distress syndrome and has turned into the most critical health issue worldwide. Limited information is available about the association between dynamic changes in the naso/oropharyngeal viral shedding in infected patients and biomarkers, aiming to be assessed in the current study. Materials and Methods: This quasi-cohort study was conducted on 31 patients with moderate severity of COVID-19 manifestations, whose real-time polymerase chain reaction (RT-PCR) test was positive for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) RNA at baseline. RT-PCR was rechecked for patients every 3–4 days until achieving two negative ones. In parallel, biomarkers, including lymphocyte count, lactate dehydrogenase (LDH), and C-reactive protein (CRP), were assessed every other day, as well. Viral shedding also was assessed. Results: Spearman's correlation test revealed a significant direct correlation between the viral shedding from the symptom onset and the time, in which CRP (P = 0.0015, r = 0.54) and LDH (P = 0.001, r = 0.6207) return to normal levels after symptom onset, but not for lymphocyte count (P = 0.068, r = 0.34). Conclusion: Based on the current study's findings, the duration of SARS-CoV-2 RNA shedding was directly correlated with the required time for LDH and CRP return to normal levels. Therefore, these factors can be considered the determinants for patients' discharge, isolation, and return to social activities; however, further investigations are required to generalize the outcomes.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1735-1995
1735-7136
Relation: http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2022;volume=27;issue=1;spage=43;epage=43;aulast=Sadeghi; https://doaj.org/toc/1735-1995; https://doaj.org/toc/1735-7136
DOI: 10.4103/jrms.jrms_401_21
Access URL: https://doaj.org/article/c3fe4f8b8cc54f23976a364a4b0ea5f4
Accession Number: edsdoj.3fe4f8b8cc54f23976a364a4b0ea5f4
Database: Directory of Open Access Journals
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More Details
ISSN:17351995
17357136
DOI:10.4103/jrms.jrms_401_21
Published in:Journal of Research in Medical Sciences
Language:English