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Prolonged viral shedding in feces of pediatric patients with coronavirus disease 2019.
Xing, Yu-Han; Ni, Wei; Wu, Qin; Li, Wen-Jie; Li, Guo-Ju; Wang, Wen-Di; Tong, Jian-Ning; Song, Xiu-Feng; Wing-Kin Wong, Gary; Xing, Quan-Sheng.
  • Xing YH; Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
  • Ni W; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Wu Q; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Li WJ; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Li GJ; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Wang WD; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Tong JN; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Song XF; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China.
  • Wing-Kin Wong G; Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. Electronic address: wingkinwong@cuhk.edu.hk.
  • Xing QS; Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong Province, China. Electronic address: xingqs0532@163.com.
J Microbiol Immunol Infect ; 53(3): 473-480, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-17539
ABSTRACT

OBJECTIVE:

To determine the dynamic changes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA in respiratory and fecal specimens in children with coronavirus disease 2019 (COVID-19).

METHODS:

From January 17, 2020 to February 23, 2020, three paediatric cases of COVID-19 were reported in Qingdao, Shandong Province, China. Epidemiological, clinical, laboratory, and radiological characteristics and treatment data were collected. Patients were followed up to March 10, 2020, and dynamic profiles of nucleic acid testing results in throat swabs and fecal specimens were closely monitored.

RESULTS:

Clearance of SARS-CoV-2 in respiratory tract occurred within two weeks after abatement of fever, whereas viral RNA remained detectable in stools of pediatric patients for longer than 4 weeks. Two children had fecal SARS-CoV-2 undetectable 20 days after throat swabs showing negative, while that of another child lagged behind for 8 days.

CONCLUSIONS:

SARS-CoV-2 may exist in children's gastrointestinal tract for a longer time than respiratory system. Persistent shedding of SARS-CoV-2 in stools of infected children raises the possibility that the virus might be transmitted through contaminated fomites. Massive efforts should be made at all levels to prevent spreading of the infection among children after reopening of kindergartens and schools.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Virus Shedding / Coronavirus Infections / Gastrointestinal Tract / Feces / Betacoronavirus Type of study: Prognostic study Limits: Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: Asia Language: English Journal: J Microbiol Immunol Infect Journal subject: Allergy and Immunology / Microbiology Year: 2020 Document Type: Article Affiliation country: J.jmii.2020.03.021

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Virus Shedding / Coronavirus Infections / Gastrointestinal Tract / Feces / Betacoronavirus Type of study: Prognostic study Limits: Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: Asia Language: English Journal: J Microbiol Immunol Infect Journal subject: Allergy and Immunology / Microbiology Year: 2020 Document Type: Article Affiliation country: J.jmii.2020.03.021