SARS-CoV-2 -RNA persists longer in faecal sample as compared to nasal and throat swab samples of COVID-19 patients'; an observational study.
Author(s): Prakash S, Shukla S, Mishra H, Prakash O, Khan DN, Pandey A, Reddy DH, Jain A
Publication: Indian J Med Microbiol, 2021, Vol. 39, Page 122-124
PubMed ID: 33610243 PubMed Review Paper? No
Purpose of Paper
This paper compared the detection of SARS-CoV-2, the virus that causes the novel 2019 coronavirus disease (COVID, COVID-19, COVID19), in matched nasal swab, oropharyngeal swab, serum, urine, and fecal specimens using real-time qRT-PCR over the course of the patient’s hospitalization.
Conclusion of Paper
SARS-CoV-2 RNA was not detected in any urine or serum specimens but was detected in nasal swab, oropharyngeal swab, or feces for a minimum of 9 days and a maximum of 24 days. Fecal specimens were positive for viral RNA for 3-5 days after nasal and oropharyngeal swab specimens were negative.
Studies
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Study Purpose
This study compared the detection of SARS-CoV-2 in matched nasal swab, oropharyngeal swab, serum, urine, and fecal specimens using real-time qRT-PCR over the course of the patient’s hospitalization. Specimens were collected from nine hospitalized patients (aged=2.6-53 y) every other day for up to 4 weeks after hospital admission (specimen collection, processing, and storage details not provided). Viral RNA was extracted using the PureLink DNA/RNA Mini Kit. SARS-CoV-2-E-gene and RNase P were detected by real-time qRT-PCR and SARS-CoV-2- RdRp and ORF1b were used in a confirmatory assay. The cycle threshold cutoff for determining a positive specimen was not provided.
Summary of Findings:
SARS-CoV-2 RNA was not detected in any urine or serum specimens but was detected in at least one specimen type (nasal swab, oropharyngeal swab, or feces) for a minimum of 9 days and a maximum of 24 days. SARS-CoV-2 RNA was detected in oropharyngeal swabs for the shortest span of days (5-15 days) and detection was lost earlier in the timecourse compared to nasal swab and fecal specimens in eight of nine patients. SARS-CoV-2 RNA was detected in nasal swabs specimens for a range of 7-19 days. SARS-CoV-2 l RNA was detected in fecal specimens for 4-22 days and continued to be detected in specimens from all patients for 3-5 days after loss of detection in nasal and oropharyngeal swab specimens.
Biospecimens
- Cell - Nasal cavity
- Cell - Oral Cavity
- Bodily Fluid - Urine
- Bodily Fluid - Serum
- Bodily Fluid - Feces
Preservative Types
- None (Fresh)
Diagnoses:
- Pneumonia/Respiratory Infection
Platform:
Analyte Technology Platform RNA Real-time qRT-PCR Pre-analytical Factors:
Classification Pre-analytical Factor Value(s) Real-time qRT-PCR Specific Targeted nucleic acid SARS-CoV-2-E-gene
SARS-CoV-2-RdRp
RNase P
SARS-CoV-2-ORF1b
Biospecimen Acquisition Biospecimen location Feces
Serum
Urine
Nasal cavity
Oral cavity