Secretion of severe acute respiratory syndrome coronavirus 2 in urine.
Identifieur interne : 000642 ( Main/Exploration ); précédent : 000641; suivant : 000643Secretion of severe acute respiratory syndrome coronavirus 2 in urine.
Auteurs : Stephan Brönimann [Autriche] ; Katharina Rebhan [Autriche] ; Ursula Lemberger [Autriche] ; Vincent Misrai [France] ; Shahrokh F. Shariat [Autriche, États-Unis, République tchèque, Russie, Jordanie, Pays-Bas] ; Benjamin Pradere [Autriche, France]Source :
- Current opinion in urology [ 1473-6586 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- isolement et purification : Betacoronavirus.
- urine : Excrétion virale, Humains, Infections à coronavirus, Pandémies, Pneumopathie virale.
English descriptors
- KwdEn :
- MESH :
- isolation & purification : Betacoronavirus.
- urine : Coronavirus Infections, Pneumonia, Viral.
- Humans, Pandemics, Virus Shedding.
Abstract
PURPOSE OF REVIEW
Despite the plethora of publications discussing the severe respiratory coronavirus 2 (SARS-CoV-2), evidence of viral secretion in urine is sparse.
RECENT FINDINGS
We could identify 34 publications including a total of 2172 patients. Among those, 549 patients were tested for SARS-CoV-2 secretion in urine, which was detected in only 38 patients (6.9%). Within the seven studies displaying positive results, the majority of positive patients (86.8%) was from not yet peer-reviewed studies including weak data and heterogeneous techniques for sample testing. Furthermore, none of the studies available in the literature addressed the virulence of detected viral RNA in urine.
SUMMARY
Overall, only seven studies were able to detect SARS-CoV-2 secretion in urine, all of them with a considerably low rate of positivity. However, these studies were of rather low quality considering their methodology. Despite this, as SARS-CoV-2 has been detected in urine, it is of importance to discuss safety and urinary hygiene protocols. Until further research provides valid data on viral shedding and virulence in urine, potential risk of transmission through urine cannot be ruled out. Therefore, safety and hygiene measures need to be discussed.
DOI: 10.1097/MOU.0000000000000808
PubMed: 32701726
PubMed Central: PMC7386676
Affiliations:
- Autriche, France, Jordanie, Pays-Bas, Russie, République tchèque, États-Unis
- Bohême centrale, Centre-Val de Loire, District fédéral central, Midi-Pyrénées, Occitanie (région administrative), Région Centre, Texas, Vienne (Autriche), État de New York
- Moscou, Prague, Toulouse, Tours, Vienne (Autriche)
Links toward previous steps (curation, corpus...)
Le document en format XML
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Sechenov First Moscow State Medical University, Moscow, Russia.</nlm:affiliation><country xml:lang="fr">Russie</country><wicri:regionArea>Institute for Urology and Reproductive Health, I.M. 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Rabelais University, Tours, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Urology, CHRU Tours, Francois Rabelais University, Tours</wicri:regionArea><placeName><region type="region">Centre-Val de Loire</region><region type="old region">Région Centre</region><settlement type="city">Tours</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32701726</idno><idno type="pmid">32701726</idno><idno type="doi">10.1097/MOU.0000000000000808</idno><idno type="pmc">PMC7386676</idno><idno type="wicri:Area/Main/Corpus">000864</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000864</idno><idno type="wicri:Area/Main/Curation">000864</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000864</idno><idno 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wicri:level="3"><nlm:affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Lemberger, Ursula" sort="Lemberger, Ursula" uniqKey="Lemberger U" first="Ursula" last="Lemberger">Ursula Lemberger</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Misrai, Vincent" sort="Misrai, Vincent" uniqKey="Misrai V" first="Vincent" last="Misrai">Vincent Misrai</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Clinique Pasteur, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Urology, Clinique Pasteur, Toulouse</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F" last="Shariat">Shahrokh F. Shariat</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Departments of Urology, Weill Cornell Medical College, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Departments of Urology, Weill Cornell Medical College, New York</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Urology, University of Texas Southwestern, Dallas, Texas, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Texas Southwestern, Dallas, Texas</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Second Faculty of Medicine, Charles University, Prague, Czech Republic.</nlm:affiliation><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Urology, Second Faculty of Medicine, Charles University, Prague</wicri:regionArea><placeName><settlement type="city">Prague</settlement><region type="région" nuts="2">Bohême centrale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.</nlm:affiliation><country xml:lang="fr">Russie</country><wicri:regionArea>Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University, Moscow</wicri:regionArea><placeName><settlement type="city">Moscou</settlement><region>District fédéral central</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Jordan, Amman, Jordan.</nlm:affiliation><country xml:lang="fr">Jordanie</country><wicri:regionArea>Department of Urology, University of Jordan, Amman</wicri:regionArea><wicri:noRegion>Amman</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>European Association of Urology Research Foundation, Arnhem, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>European Association of Urology Research Foundation, Arnhem</wicri:regionArea><wicri:noRegion>Arnhem</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Karl Landsteiner Institute of Urology and Andrology, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Pradere, Benjamin" sort="Pradere, Benjamin" uniqKey="Pradere B" first="Benjamin" last="Pradere">Benjamin Pradere</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Urology, CHRU Tours, Francois Rabelais University, Tours</wicri:regionArea><placeName><region type="region">Centre-Val de Loire</region><region type="old region">Région Centre</region><settlement type="city">Tours</settlement></placeName></affiliation></author></analytic><series><title level="j">Current opinion in urology</title><idno type="eISSN">1473-6586</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (isolation & purification)</term><term>Coronavirus Infections (urine)</term><term>Humans (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (urine)</term><term>Virus Shedding (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (isolement et purification)</term><term>Excrétion virale (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (urine)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (urine)</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="urine" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Pandemics</term><term>Virus Shedding</term></keywords><keywords scheme="MESH" qualifier="urine" xml:lang="fr"><term>Excrétion virale</term><term>Humains</term><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE OF REVIEW</b></p><p>Despite the plethora of publications discussing the severe respiratory coronavirus 2 (SARS-CoV-2), evidence of viral secretion in urine is sparse.</p></div><div type="abstract" xml:lang="en"><p><b>RECENT FINDINGS</b></p><p>We could identify 34 publications including a total of 2172 patients. Among those, 549 patients were tested for SARS-CoV-2 secretion in urine, which was detected in only 38 patients (6.9%). Within the seven studies displaying positive results, the majority of positive patients (86.8%) was from not yet peer-reviewed studies including weak data and heterogeneous techniques for sample testing. Furthermore, none of the studies available in the literature addressed the virulence of detected viral RNA in urine.</p></div><div type="abstract" xml:lang="en"><p><b>SUMMARY</b></p><p>Overall, only seven studies were able to detect SARS-CoV-2 secretion in urine, all of them with a considerably low rate of positivity. However, these studies were of rather low quality considering their methodology. Despite this, as SARS-CoV-2 has been detected in urine, it is of importance to discuss safety and urinary hygiene protocols. Until further research provides valid data on viral shedding and virulence in urine, potential risk of transmission through urine cannot be ruled out. Therefore, safety and hygiene measures need to be discussed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32701726</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>05</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>05</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1473-6586</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>09</Month></PubDate></JournalIssue><Title>Current opinion in urology</Title><ISOAbbreviation>Curr Opin Urol</ISOAbbreviation></Journal><ArticleTitle>Secretion of severe acute respiratory syndrome coronavirus 2 in urine.</ArticleTitle><Pagination><MedlinePgn>735-739</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MOU.0000000000000808</ELocationID><Abstract><AbstractText Label="PURPOSE OF REVIEW">Despite the plethora of publications discussing the severe respiratory coronavirus 2 (SARS-CoV-2), evidence of viral secretion in urine is sparse.</AbstractText><AbstractText Label="RECENT FINDINGS">We could identify 34 publications including a total of 2172 patients. Among those, 549 patients were tested for SARS-CoV-2 secretion in urine, which was detected in only 38 patients (6.9%). Within the seven studies displaying positive results, the majority of positive patients (86.8%) was from not yet peer-reviewed studies including weak data and heterogeneous techniques for sample testing. Furthermore, none of the studies available in the literature addressed the virulence of detected viral RNA in urine.</AbstractText><AbstractText Label="SUMMARY">Overall, only seven studies were able to detect SARS-CoV-2 secretion in urine, all of them with a considerably low rate of positivity. However, these studies were of rather low quality considering their methodology. Despite this, as SARS-CoV-2 has been detected in urine, it is of importance to discuss safety and urinary hygiene protocols. Until further research provides valid data on viral shedding and virulence in urine, potential risk of transmission through urine cannot be ruled out. Therefore, safety and hygiene measures need to be discussed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brönimann</LastName><ForeName>Stephan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rebhan</LastName><ForeName>Katharina</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lemberger</LastName><ForeName>Ursula</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Misrai</LastName><ForeName>Vincent</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Urology, Clinique Pasteur, Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shariat</LastName><ForeName>Shahrokh F</ForeName><Initials>SF</Initials><AffiliationInfo><Affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Departments of Urology, Weill Cornell Medical College, New York, New York.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Urology, University of Texas Southwestern, Dallas, Texas, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Urology, Second Faculty of Medicine, Charles University, Prague, Czech Republic.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Urology, University of Jordan, Amman, Jordan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>European Association of Urology Research Foundation, Arnhem, the Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pradere</LastName><ForeName>Benjamin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Curr Opin Urol</MedlineTA><NlmUniqueID>9200621</NlmUniqueID><ISSNLinking>0963-0643</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000652" MajorTopicYN="Y">urine</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000652" MajorTopicYN="Y">urine</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017201" MajorTopicYN="Y">Virus Shedding</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32701726</ArticleId><ArticleId IdType="doi">10.1097/MOU.0000000000000808</ArticleId><ArticleId IdType="pmc">PMC7386676</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Autriche</li><li>France</li><li>Jordanie</li><li>Pays-Bas</li><li>Russie</li><li>République tchèque</li><li>États-Unis</li></country><region><li>Bohême centrale</li><li>Centre-Val de Loire</li><li>District fédéral central</li><li>Midi-Pyrénées</li><li>Occitanie (région administrative)</li><li>Région Centre</li><li>Texas</li><li>Vienne (Autriche)</li><li>État de New York</li></region><settlement><li>Moscou</li><li>Prague</li><li>Toulouse</li><li>Tours</li><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Bronimann, Stephan" sort="Bronimann, Stephan" uniqKey="Bronimann S" first="Stephan" last="Brönimann">Stephan Brönimann</name></region><name sortKey="Lemberger, Ursula" sort="Lemberger, Ursula" uniqKey="Lemberger U" first="Ursula" last="Lemberger">Ursula Lemberger</name><name sortKey="Pradere, Benjamin" sort="Pradere, Benjamin" uniqKey="Pradere B" first="Benjamin" last="Pradere">Benjamin Pradere</name><name sortKey="Rebhan, Katharina" sort="Rebhan, Katharina" uniqKey="Rebhan K" first="Katharina" last="Rebhan">Katharina Rebhan</name><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F" last="Shariat">Shahrokh F. Shariat</name><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F" last="Shariat">Shahrokh F. Shariat</name></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Misrai, Vincent" sort="Misrai, Vincent" uniqKey="Misrai V" first="Vincent" last="Misrai">Vincent Misrai</name></region><name sortKey="Pradere, Benjamin" sort="Pradere, Benjamin" uniqKey="Pradere B" first="Benjamin" last="Pradere">Benjamin Pradere</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F" last="Shariat">Shahrokh F. Shariat</name></region><name sortKey="Shariat, Shahrokh F" sort="Shariat, Shahrokh F" uniqKey="Shariat S" first="Shahrokh F" last="Shariat">Shahrokh F. 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