Comparison of clinical characteristics between fecal/perianal swab nucleic acid-positive and -negative patients with COVID-19.
Identifieur interne : 000724 ( Main/Exploration ); précédent : 000723; suivant : 000725Comparison of clinical characteristics between fecal/perianal swab nucleic acid-positive and -negative patients with COVID-19.
Auteurs : Gong-Qi Chen [République populaire de Chine] ; Wen-Tao Luo [République populaire de Chine] ; Chao-Hui Zhao [République populaire de Chine] ; Chun-Na Li [République populaire de Chine] ; Zhong-Si Hong [République populaire de Chine] ; Jin-Yu Xia [République populaire de Chine] ; Xi Liu [République populaire de Chine]Source :
- Journal of infection in developing countries [ 1972-2680 ] ; 2020.
Descripteurs français
- KwdFr :
- ARN viral (analyse), Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (isolement et purification), Canal anal (virologie), Femelle (MeSH), Fèces (virologie), Humains (MeSH), Infections à coronavirus (virologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (virologie), Sujet âgé (MeSH).
- MESH :
- analyse : ARN viral.
- isolement et purification : Betacoronavirus.
- virologie : Canal anal, Fèces, Infections à coronavirus, Pneumopathie virale.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Pandémies, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- chemical , analysis : RNA, Viral.
- isolation & purification : Betacoronavirus.
- virology : Anal Canal, Coronavirus Infections, Feces, Pneumonia, Viral.
- Adult, Aged, Female, Humans, Male, Middle Aged, Pandemics.
Abstract
INTRODUCTION
We analyzed the clinical characteristics of COVID-19 fecal/perianal swab nucleic acid-positive patients in our hospital and evaluated the effect of SARS-CoV-2 on the gastrointestinal tract.
METHODOLOGY
Ninety-seven patients in the Fifth Affiliated Hospital of Sun Yat-sen University from January 17, 2020 to March 2, 2020 with fecal/perianal swab samples were selected as subjects and the results of real-time fluorescence reverse transcriptase-PCR SARS-CoV-2 nucleic acid detection of fecal/perianal swabs were used to divide subjects into positive and negative groups.
RESULTS
Fecal/perianal swabs of 53.61% (52/97) patients were positive including 31 males (59.62%) and 21 females (40.38%). The negative group had more females than males (P = 0.001). The distribution of case classification based on the most severe condition observed after admission was different between groups: five (5.15%) critical type patients were all from the positive group (P = 0.029). There was no statistical difference in clinical manifestations between the groups. In the positive group, the mean nucleic acid-negative conversion time was 14.13 ± 8.61 days, which was significantly later than the negative group (6.98 ± 5.16 days; P < 0.001). In the positive group, 92% (48/52) had nucleic acid-negative conversion with a mean nucleic acid-negative conversion time of 22.58 ± 10.30 days. Among them, 41 (78.85%) cases were delayed compared with pharynx/nasal swab nucleic acid-negative conversion time.
CONCLUSIONS
The positive rate of fecal/perianal swab nucleic acid in male patients was higher than that in female patients. Fecal/perianal swab nucleic acid positive may be an indicator of critical conditions in those with COVID-19.
DOI: 10.3855/jidc.12885
PubMed: 32903228
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Haizi2308@sina.com.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author><author><name sortKey="Luo, Wen Tao" sort="Luo, Wen Tao" uniqKey="Luo W" first="Wen-Tao" last="Luo">Wen-Tao Luo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. luowt7@mail2.sysu.edu.cn.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author><author><name sortKey="Zhao, Chao Hui" sort="Zhao, Chao Hui" uniqKey="Zhao C" first="Chao-Hui" last="Zhao">Chao-Hui Zhao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. 2289580157@qq.com.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author><author><name sortKey="Li, Chun Na" sort="Li, Chun Na" uniqKey="Li C" first="Chun-Na" last="Li">Chun-Na Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. lichunna@mail.sysu.edu.cn.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Zhong Si" sort="Hong, Zhong Si" uniqKey="Hong Z" first="Zhong-Si" last="Hong">Zhong-Si Hong</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. hongzhs@mail.sysu.edu.cn.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author><author><name sortKey="Xia, Jin Yu" sort="Xia, Jin Yu" uniqKey="Xia J" first="Jin-Yu" last="Xia">Jin-Yu Xia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. xiajinyu@mail.sysu.edu.cn.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Xi" sort="Liu, Xi" uniqKey="Liu X" first="Xi" last="Liu">Xi Liu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. liuxi26@mail.sysu.edu.cn.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai</wicri:regionArea><wicri:noRegion>Zhuhai</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of infection in developing countries</title><idno type="eISSN">1972-2680</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Anal Canal (virology)</term><term>Betacoronavirus (isolation & purification)</term><term>Coronavirus Infections (virology)</term><term>Feces (virology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (virology)</term><term>RNA, Viral (analysis)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>ARN viral (analyse)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (isolement et purification)</term><term>Canal anal (virologie)</term><term>Femelle (MeSH)</term><term>Fèces (virologie)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (virologie)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (virologie)</term><term>Sujet âgé (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>RNA, Viral</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>ARN viral</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="virologie" xml:lang="fr"><term>Canal anal</term><term>Fèces</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Anal Canal</term><term>Coronavirus Infections</term><term>Feces</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pandémies</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>We analyzed the clinical characteristics of COVID-19 fecal/perianal swab nucleic acid-positive patients in our hospital and evaluated the effect of SARS-CoV-2 on the gastrointestinal tract.</p></div><div type="abstract" xml:lang="en"><p><b>METHODOLOGY</b></p><p>Ninety-seven patients in the Fifth Affiliated Hospital of Sun Yat-sen University from January 17, 2020 to March 2, 2020 with fecal/perianal swab samples were selected as subjects and the results of real-time fluorescence reverse transcriptase-PCR SARS-CoV-2 nucleic acid detection of fecal/perianal swabs were used to divide subjects into positive and negative groups.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Fecal/perianal swabs of 53.61% (52/97) patients were positive including 31 males (59.62%) and 21 females (40.38%). The negative group had more females than males (P = 0.001). The distribution of case classification based on the most severe condition observed after admission was different between groups: five (5.15%) critical type patients were all from the positive group (P = 0.029). There was no statistical difference in clinical manifestations between the groups. In the positive group, the mean nucleic acid-negative conversion time was 14.13 ± 8.61 days, which was significantly later than the negative group (6.98 ± 5.16 days; P < 0.001). In the positive group, 92% (48/52) had nucleic acid-negative conversion with a mean nucleic acid-negative conversion time of 22.58 ± 10.30 days. Among them, 41 (78.85%) cases were delayed compared with pharynx/nasal swab nucleic acid-negative conversion time.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The positive rate of fecal/perianal swab nucleic acid in male patients was higher than that in female patients. Fecal/perianal swab nucleic acid positive may be an indicator of critical conditions in those with COVID-19.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32903228</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>22</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>22</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1972-2680</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>08</Month><Day>31</Day></PubDate></JournalIssue><Title>Journal of infection in developing countries</Title><ISOAbbreviation>J Infect Dev Ctries</ISOAbbreviation></Journal><ArticleTitle>Comparison of clinical characteristics between fecal/perianal swab nucleic acid-positive and -negative patients with COVID-19.</ArticleTitle><Pagination><MedlinePgn>847-852</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3855/jidc.12885</ELocationID><Abstract><AbstractText Label="INTRODUCTION">We analyzed the clinical characteristics of COVID-19 fecal/perianal swab nucleic acid-positive patients in our hospital and evaluated the effect of SARS-CoV-2 on the gastrointestinal tract.</AbstractText><AbstractText Label="METHODOLOGY">Ninety-seven patients in the Fifth Affiliated Hospital of Sun Yat-sen University from January 17, 2020 to March 2, 2020 with fecal/perianal swab samples were selected as subjects and the results of real-time fluorescence reverse transcriptase-PCR SARS-CoV-2 nucleic acid detection of fecal/perianal swabs were used to divide subjects into positive and negative groups.</AbstractText><AbstractText Label="RESULTS">Fecal/perianal swabs of 53.61% (52/97) patients were positive including 31 males (59.62%) and 21 females (40.38%). The negative group had more females than males (P = 0.001). The distribution of case classification based on the most severe condition observed after admission was different between groups: five (5.15%) critical type patients were all from the positive group (P = 0.029). There was no statistical difference in clinical manifestations between the groups. In the positive group, the mean nucleic acid-negative conversion time was 14.13 ± 8.61 days, which was significantly later than the negative group (6.98 ± 5.16 days; P < 0.001). In the positive group, 92% (48/52) had nucleic acid-negative conversion with a mean nucleic acid-negative conversion time of 22.58 ± 10.30 days. Among them, 41 (78.85%) cases were delayed compared with pharynx/nasal swab nucleic acid-negative conversion time.</AbstractText><AbstractText Label="CONCLUSIONS">The positive rate of fecal/perianal swab nucleic acid in male patients was higher than that in female patients. Fecal/perianal swab nucleic acid positive may be an indicator of critical conditions in those with COVID-19.</AbstractText><CopyrightInformation>Copyright (c) 2020 Gong-Qi Chen, Wen-Tao Luo, Chao-Hui Zhao, Chun-Na Li, Zhong-Si Hong, Jin-Yu Xia, Xi Liu.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Gong-Qi</ForeName><Initials>GQ</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. Haizi2308@sina.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Luo</LastName><ForeName>Wen-Tao</ForeName><Initials>WT</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. luowt7@mail2.sysu.edu.cn.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhao</LastName><ForeName>Chao-Hui</ForeName><Initials>CH</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. 2289580157@qq.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Chun-Na</ForeName><Initials>CN</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. lichunna@mail.sysu.edu.cn.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hong</LastName><ForeName>Zhong-Si</ForeName><Initials>ZS</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. hongzhs@mail.sysu.edu.cn.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xia</LastName><ForeName>Jin-Yu</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. xiajinyu@mail.sysu.edu.cn.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Xi</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. liuxi26@mail.sysu.edu.cn.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>J Infect Dev Ctries</MedlineTA><NlmUniqueID>101305410</NlmUniqueID><ISSNLinking>1972-2680</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D012367">RNA, Viral</NameOfSubstance></Chemical></ChemicalList><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="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001003" MajorTopicYN="N">Anal Canal</DescriptorName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><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="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005243" MajorTopicYN="N">Feces</DescriptorName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012367" MajorTopicYN="N">RNA, Viral</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="Y">analysis</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">ACE2</Keyword><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">PCR</Keyword><Keyword MajorTopicYN="Y">SARS-CoV-2</Keyword><Keyword MajorTopicYN="Y">clinical characteristics</Keyword><Keyword MajorTopicYN="Y">fecal swab</Keyword></KeywordList><CoiStatement>No Conflict of Interest is declared</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>9</Day><Hour>17</Hour><Minute>52</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32903228</ArticleId><ArticleId IdType="doi">10.3855/jidc.12885</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Chen, Gong Qi" sort="Chen, Gong Qi" uniqKey="Chen G" first="Gong-Qi" last="Chen">Gong-Qi Chen</name></noRegion><name sortKey="Hong, Zhong Si" sort="Hong, Zhong Si" uniqKey="Hong Z" first="Zhong-Si" last="Hong">Zhong-Si Hong</name><name sortKey="Li, Chun Na" sort="Li, Chun Na" uniqKey="Li C" first="Chun-Na" last="Li">Chun-Na Li</name><name sortKey="Liu, Xi" sort="Liu, Xi" uniqKey="Liu X" first="Xi" last="Liu">Xi Liu</name><name sortKey="Luo, Wen Tao" sort="Luo, Wen Tao" uniqKey="Luo W" first="Wen-Tao" last="Luo">Wen-Tao Luo</name><name sortKey="Xia, Jin Yu" sort="Xia, Jin Yu" uniqKey="Xia J" first="Jin-Yu" last="Xia">Jin-Yu Xia</name><name sortKey="Zhao, Chao Hui" sort="Zhao, Chao Hui" uniqKey="Zhao C" first="Chao-Hui" last="Zhao">Chao-Hui Zhao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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