在COVID-19患者中延长病毒RNA分泌的危险因素;一项嵌套病例控制研究
1Egepol Hospital. Infectious Diseases and Clinical Microbiology Department, MD, Izmir, Turkey.
Journal of infection in developing countries
|June 6, 2023
概括
在COVID-19患者中确定了长时间病毒泄漏的预测因素. 在严重急性呼吸系统综合征冠状病毒 (SARS-CoV-2) 感染中,较高的D-二聚体水平和细菌共同感染独立预测了更长的病毒RNA分泌时间.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 由SARS-CoV-2引起的COVID-19流行病呈现出不可预测的病毒行为.
- 了解影响长期病毒分泌的因素对于患者管理和传播控制至关重要.
研究的目的:
- 为了确定与COVID-19患者长期病毒RNA分泌相关的预测因子.
- 分析导致SARS-CoV-2感染中核酸转化时间 (NCT) 延长的因素.
主要方法:
- 一个回顾性,嵌套的病例控制研究,涉及155名COVID-19患者.
- 患者被分为长期 (>14天) 和非长期NCT组.
- 使用条件后勤回归和ROC曲线分析来确定预测因素.
主要成果:
- 两组之间在临床表现,并发症或治疗方面没有发现显著差异.
- 长时间流产组的C-反应蛋白和D-二元水平升高显著高于长期流产组.
- 鉴定出D-二元水平和细菌共感染是长期NCT的独立预测因素 (分别为p=0.043和p=0.001).
结论:
- D-二聚体水平和细菌共同感染是COVID-19中延长病毒流放的显著独立预测因素.
- 这些发现为预测病毒进程和管理SARS-CoV-2感染患者提供了宝贵的见解.
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