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The differences in virus shedding time between the Delta variant and original Sars-CoV-2 infected patients

Bibliographic Data

ID22089977
AuthorsFanglin Li (0000-0002-9341-9657, Central South University), Jiayi Deng (0000-0002-1962-2956, Central South University), Canbin Xie (Central South University), Guyi Wang (0000-0002-5221-3660, Central South University), Min Xu (0000-0002-8940-1614, Central South University), Chenfang Wu (0000-0001-9579-4496, Central South University), Jinxiu Li (0000-0002-9479-8230, Central South University, corresponding author), Yanjun Zhong (0000-0002-5057-3144, Central South University, corresponding author)
Year2023
Volume11
Pages1132643-1132643
Publication date2023-07-24
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1132643
PMID37559731
OpenAlexW4385198562
LanguageEN
References cited38

Background The worldwide epidemic of Coronavirus Disease 2019 (COVID-19) has evolved into multiple variants. The Delta variant is known for its ability to spread and replicate, while data are limited about the virus shedding time in patients infected by the Delta variant. Methods 56 Delta variant and 56 original SARS-CoV-2 infected patients from Hunan, China, matched according to age and gender divided into two groups and compared the baseline characteristics and laboratory findings with appropriate statistical methods. Results Patients infected with the Delta variant had significantly fewer symptoms of fever ( p < 0.001), fatigue ( p = 0.004), anorexia ( p < 0.001), shortness of breath ( p = 0.004), diarrhea ( p = 0.006), positive pneumonia rate of chest CT ( p = 0.019) and chest CT ground glass opacities ( p = 0.004) than those of patients with the original SARS-CoV-2. Patients of the Delta variant group had a significantly longer virus shedding time [41.5 (31.5, 46.75) vs. 18.5 (13, 25.75), p < 0.001] compared with the original SARS-CoV-2 group. The correlation analyses between the virus shedding time and clinical or laboratory parameters showed that the virus shedding time was positively related to the viral strain, serum creatinine and creatine kinase isoenzyme, while negatively correlated with lymphocyte count, total bilirubin and low-density lipoprotein. Finally, the viral strain and lymphocyte count were thought of as the independent risk factors of the virus shedding time demonstrated by multiple linear regression. Conclusion COVID-19 patients infected with the Delta variant exhibited fewer gastrointestinal symptoms and prolonged virus shedding time than those infected with the original SARS-CoV-2. Delta variant and fewer lymphocyte were correlated with prolonged virus shedding time

Coronavirus · Diarrhea · Disease · Viral Shedding · Virus · COVID-19 Clinical Research Studies · Long-Term Effects of COVID-19 · Medicine · SARS-CoV-2 and COVID-19 Research · Gastroenterology · Immunology · Internal Medicine · Virology

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    Open Access•Roman Wölfel, Victor M Corman et al.•Nature•2020

  • Temporal dynamics in viral shedding and transmissibility of Covid-19

    Open Access•Xi He, Eric Hy Lau et al.•Nature Medicine•2020

  • Clinical course and risk factors for mortality of adult inpatients with Covid-19 in Wuhan, China

    Open Access•Fei Zhou, Ting Yu et al.•The Lancet•2020

  • Factors associated with prolonged viral shedding in older patients infected with Omicron BA.2.2

    Open Access•Weijie Zhong, Xiaosheng Yang et al.•Frontiers in Public Health•2023

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