• The Journal of infection · Aug 2020

    Comment Letter

    Positive rectal swabs in young patients recovered from coronavirus disease 2019 (COVID-19).

    • Bin Zhang, Shuyi Liu, Yuhao Dong, Lu Zhang, Qingyang Zhong, Yujian Zou, and Shuixing Zhang.
    • The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
    • J. Infect. 2020 Aug 1; 81 (2): e49-e52.

    ObjectivesTo investigate the widely concerned issue about positive real-time reverse transcription polymerase chain reaction (RT-PCR) test results after discharge in patients recovered from coronavirus disease 2019 (COVID-19).MethodsWe identified seven cases of COVID-19 who was readmitted to hospital because of positive RT-PCR after discharge, including three pediatrics and four young adult patients.ResultsSix patients had positive rectal swabs but negative throat swabs, and one patient had positive throat swabs. All the patients continued to be asymptomatic and had unchanged chest computed tomography from previous images. The time from hospital discharge to positive RT-PCR after recovery was 7-11 days. The time from positive to negative rectal swabs was 5-23 days.ConclusionThe study might suggest the positive RT-PCR after recovery did not mean disease relapse or virus reinfection. Adding RT-PCR test of rectal swabs to the criteria for discharge or discontinuation of quarantine might be necessary.Copyright © 2020 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

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