Abstract

BackgroundTwo months after the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, tens of thousands of hospitalized patients had recovered, and little is known about the follow-up of the recovered patients.MethodsThe clinical characteristics, reverse transcriptase-polymerase chain reaction (RT-PCR) results from throat swab specimens and the results of serological COVID-19 rapid diagnostic test (RDT) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were retrospectively reviewed for a total of 758 recovered patients who were previously hospitalized in 17 hospitals and quarantined at 32 rehabilitation stations in Wuhan, China.ResultsIn total, 59 patients (7.78%) had recurrent positive findings for COVID-19 on RT-PCR from throat swabs. With regard to antibody detection, 50/59 (84.75%) and 4/59 (6.78%) patients had positive IgG or dual positive IgG/IgM RDT results, respectively.ConclusionsSome patients who had been quarantined and had subsequently recovered from COVID-19 had recurrent positive RT-PCR results for SARS-CoV-2, and the possibility of transmission of the virus by recovered patients needs further investigation.Trial registrationCurrent Controlled Trials ChiCTR2000033580, Jun 6th 2020. Retrospectively registered.

Highlights

  • Two months after the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, tens of thousands of hospitalized patients had recovered, and little is known about the follow-up of the recovered patients

  • Few studies have described positive reverse transcriptase–polymerase chain reaction (RT-PCR) test results in patients who have recovered from COVID-19 [3,4,5], and the clinical characteristics of the recovered COVID-19 patients with recurrent positive RT-PCR results remain unclear

  • Epidemiological characteristics As of March 15, 2020, clinical data had been collected from 758 patients with laboratory-confirmed COVID-19 who were quarantined at rehabilitation stations in Huangpi, Wuhan, Hubei Province

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Summary

Introduction

Two months after the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, tens of thousands of hospitalized patients had recovered, and little is known about the follow-up of the recovered patients. Coronavirus disease 2019 (COVID-19) is an emerging infectious respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that first emerged in early December 2019 in Wuhan, China. The patients suspected of having COVID-19 were diagnosed by positive RT-PCR for SARS-CoV-2, and 2 consecutively negative RT-PCR results were used as a criterion for hospital discharge. Few studies have described positive RT-PCR test results in patients who have recovered from COVID-19 [3,4,5], and the clinical characteristics of the recovered COVID-19 patients with recurrent positive RT-PCR results remain unclear. We studied the characteristics of recovered COVID-19 patients with recurrent positive RT-PCR results for SARS-CoV-2 in Huangpi, Wuhan

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