Occurrence and Timing of Subsequent SARS-CoV-2 RT-PCR Positivity Among Initially Negative Patients.
Identifieur interne : 000640 ( Main/Corpus ); précédent : 000639; suivant : 000641Occurrence and Timing of Subsequent SARS-CoV-2 RT-PCR Positivity Among Initially Negative Patients.
Auteurs : Dustin R. Long ; Saurabh Gombar ; Catherine A. Hogan ; Alexander L. Greninger ; Vikas O'Reilly-Shah ; Chloe Bryson-Cahn ; Bryan Stevens ; Arjun Rustagi ; Keith R. Jerome ; Christina S. Kong ; James Zehnder ; Nigam H. Shah ; Noel S. Weiss ; Benjamin A. Pinsky ; Jacob SunshineSource :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2020.
Abstract
Using data for 20,912 patients from two large academic health systems, we analyzed the frequency of SARS-CoV-2 RT-PCR test-discordance among individuals initially testing negative by nasopharyngeal swab who were retested on clinical grounds within 7 days. The frequency of subsequent positivity within this window was 3.5% and similar across institutions.
DOI: 10.1093/cid/ciaa722
PubMed: 32506118
PubMed Central: PMC7314163
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Hogan</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Greninger, Alexander L" sort="Greninger, Alexander L" uniqKey="Greninger A" first="Alexander L" last="Greninger">Alexander L. Greninger</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Laboratory Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Fred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="O Reilly Shah, Vikas" sort="O Reilly Shah, Vikas" uniqKey="O Reilly Shah V" first="Vikas" last="O'Reilly-Shah">Vikas O'Reilly-Shah</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bryson Cahn, Chloe" sort="Bryson Cahn, Chloe" uniqKey="Bryson Cahn C" first="Chloe" last="Bryson-Cahn">Chloe Bryson-Cahn</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Division of Allergy and Infectious Diseases, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Stevens, Bryan" sort="Stevens, Bryan" uniqKey="Stevens B" first="Bryan" last="Stevens">Bryan Stevens</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rustagi, Arjun" sort="Rustagi, Arjun" uniqKey="Rustagi A" first="Arjun" last="Rustagi">Arjun Rustagi</name><affiliation><nlm:affiliation>Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Jerome, Keith R" sort="Jerome, Keith R" uniqKey="Jerome K" first="Keith R" last="Jerome">Keith R. 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Pinsky</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Sunshine, Jacob" sort="Sunshine, Jacob" uniqKey="Sunshine J" first="Jacob" last="Sunshine">Jacob Sunshine</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32506118</idno><idno type="pmid">32506118</idno><idno type="doi">10.1093/cid/ciaa722</idno><idno type="pmc">PMC7314163</idno><idno type="wicri:Area/Main/Corpus">000640</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000640</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Occurrence and Timing of Subsequent SARS-CoV-2 RT-PCR Positivity Among Initially Negative Patients.</title><author><name sortKey="Long, Dustin R" sort="Long, Dustin R" uniqKey="Long D" first="Dustin R" last="Long">Dustin R. Long</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Division of Critical Care Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Gombar, Saurabh" sort="Gombar, Saurabh" uniqKey="Gombar S" first="Saurabh" last="Gombar">Saurabh Gombar</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hogan, Catherine A" sort="Hogan, Catherine A" uniqKey="Hogan C" first="Catherine A" last="Hogan">Catherine A. Hogan</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Greninger, Alexander L" sort="Greninger, Alexander L" uniqKey="Greninger A" first="Alexander L" last="Greninger">Alexander L. Greninger</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Laboratory Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Fred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="O Reilly Shah, Vikas" sort="O Reilly Shah, Vikas" uniqKey="O Reilly Shah V" first="Vikas" last="O'Reilly-Shah">Vikas O'Reilly-Shah</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bryson Cahn, Chloe" sort="Bryson Cahn, Chloe" uniqKey="Bryson Cahn C" first="Chloe" last="Bryson-Cahn">Chloe Bryson-Cahn</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Division of Allergy and Infectious Diseases, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Stevens, Bryan" sort="Stevens, Bryan" uniqKey="Stevens B" first="Bryan" last="Stevens">Bryan Stevens</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rustagi, Arjun" sort="Rustagi, Arjun" uniqKey="Rustagi A" first="Arjun" last="Rustagi">Arjun Rustagi</name><affiliation><nlm:affiliation>Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Jerome, Keith R" sort="Jerome, Keith R" uniqKey="Jerome K" first="Keith R" last="Jerome">Keith R. Jerome</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Laboratory Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Fred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kong, Christina S" sort="Kong, Christina S" uniqKey="Kong C" first="Christina S" last="Kong">Christina S. Kong</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Zehnder, James" sort="Zehnder, James" uniqKey="Zehnder J" first="James" last="Zehnder">James Zehnder</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Shah, Nigam H" sort="Shah, Nigam H" uniqKey="Shah N" first="Nigam H" last="Shah">Nigam H. Shah</name><affiliation><nlm:affiliation>Center for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Weiss, Noel S" sort="Weiss, Noel S" uniqKey="Weiss N" first="Noel S" last="Weiss">Noel S. Weiss</name><affiliation><nlm:affiliation>University of Washington School of Public Health, Department of Epidemiology, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Pinsky, Benjamin A" sort="Pinsky, Benjamin A" uniqKey="Pinsky B" first="Benjamin A" last="Pinsky">Benjamin A. Pinsky</name><affiliation><nlm:affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Sunshine, Jacob" sort="Sunshine, Jacob" uniqKey="Sunshine J" first="Jacob" last="Sunshine">Jacob Sunshine</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Seattle, WA, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Using data for 20,912 patients from two large academic health systems, we analyzed the frequency of SARS-CoV-2 RT-PCR test-discordance among individuals initially testing negative by nasopharyngeal swab who were retested on clinical grounds within 7 days. The frequency of subsequent positivity within this window was 3.5% and similar across institutions.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32506118</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>06</Month><Day>07</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin Infect Dis</ISOAbbreviation></Journal><ArticleTitle>Occurrence and Timing of Subsequent SARS-CoV-2 RT-PCR Positivity Among Initially Negative Patients.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">ciaa722</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/ciaa722</ELocationID><Abstract><AbstractText>Using data for 20,912 patients from two large academic health systems, we analyzed the frequency of SARS-CoV-2 RT-PCR test-discordance among individuals initially testing negative by nasopharyngeal swab who were retested on clinical grounds within 7 days. The frequency of subsequent positivity within this window was 3.5% and similar across institutions.</AbstractText><CopyrightInformation>Published by Oxford University Press for the Infectious Diseases Society of America 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Long</LastName><ForeName>Dustin R</ForeName><Initials>DR</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Division of Critical Care Medicine, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gombar</LastName><ForeName>Saurabh</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hogan</LastName><ForeName>Catherine A</ForeName><Initials>CA</Initials><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greninger</LastName><ForeName>Alexander L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Department of Laboratory Medicine, Seattle, WA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Fred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Reilly-Shah</LastName><ForeName>Vikas</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bryson-Cahn</LastName><ForeName>Chloe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Division of Allergy and Infectious Diseases, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stevens</LastName><ForeName>Bryan</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rustagi</LastName><ForeName>Arjun</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jerome</LastName><ForeName>Keith R</ForeName><Initials>KR</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Department of Laboratory Medicine, Seattle, WA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Fred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kong</LastName><ForeName>Christina S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zehnder</LastName><ForeName>James</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shah</LastName><ForeName>Nigam H</ForeName><Initials>NH</Initials><AffiliationInfo><Affiliation>Center for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weiss</LastName><ForeName>Noel S</ForeName><Initials>NS</Initials><AffiliationInfo><Affiliation>University of Washington School of Public Health, Department of Epidemiology, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pinsky</LastName><ForeName>Benjamin A</ForeName><Initials>BA</Initials><AffiliationInfo><Affiliation>Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical Virology Laboratory, Stanford Health Care, Stanford, CA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sunshine</LastName><ForeName>Jacob</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Department of Anesthesiology & Pain Medicine, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>T32 GM086270</GrantID><Acronym>GM</Acronym><Agency>NIGMS NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="UpdateOf"><RefSource>medRxiv. 2020 May 08;:</RefSource><PMID Version="1">32511542</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">SARS-CoV-2 RT-PCR</Keyword><Keyword MajorTopicYN="Y">nasopharyngeal</Keyword><Keyword MajorTopicYN="Y">test characteristics</Keyword><Keyword MajorTopicYN="Y">testing</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32506118</ArticleId><ArticleId IdType="pii">5854366</ArticleId><ArticleId IdType="doi">10.1093/cid/ciaa722</ArticleId><ArticleId IdType="pmc">PMC7314163</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Nature. 2020 May;581(7809):465-469</Citation><ArticleIdList><ArticleId IdType="pubmed">32235945</ArticleId></ArticleIdList></Reference><Reference><Citation>Emerg Infect Dis. 2020 Aug;26(8):</Citation><ArticleIdList><ArticleId IdType="pubmed">32396505</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Mar 5;382(10):929-936</Citation><ArticleIdList><ArticleId IdType="pubmed">32004427</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Microbiol. 2020 May 26;58(6):</Citation><ArticleIdList><ArticleId IdType="pubmed">32269100</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2020 Apr 6;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32250394</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2020 Mar 11;:</Citation><ArticleIdList><ArticleId 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