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Time to SARS-CoV-2 PCR Clearance in Immunocompromising Conditions: Is Test-Based Removal From Isolation Necessary in Severely Immunocompromised Individuals?
Author(s) -
Rachel Epstein,
Heather Sperring,
Melissa Hofman,
Sara Lodi,
Laura F. White,
Joshua A. Barocas,
Tara C. Bouton,
Yian Xiao,
Heather Hsu,
Nancy S. Miller,
Benjamin P. Linas,
Jai Marathe
Publication year - 2021
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofab164
Subject(s) - medicine , covid-19 , isolation (microbiology) , virology , test (biology) , intensive care medicine , immunology , bioinformatics , outbreak , biology , disease , infectious disease (medical specialty) , paleontology
To determine the association between immunosuppression and time to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR) clearance, we studied 3758 adults retested following initial SARS-CoV-2 infection. Cox proportional hazards models demonstrated delayed PCR clearance with older age, multiple comorbidities, and solid organ transplant but not by degree of immunocompromise. These findings challenge current retesting practices.

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