Duration of COVID-19: Data from an Italian Cohort and Potential Role for Steroids

The diffusion of SARS-CoV-2, starting from China in December 2019, has led to a pandemic, reaching Italy in February 2020. Previous studies in Asia have shown that the median duration of SARS-CoV-2 viral shedding was approximately 12–20 days. We considered a cohort of patients recovered from COVID-1...

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Hlavní autoři: Damiano D’Ardes, Michela Pontolillo, Lucia Esposito, Mara Masciarelli, Andrea Boccatonda, Ilaria Rossi, Marco Bucci, Maria Teresa Guagnano, Claudio Ucciferri, Francesca Santilli, Marta Di Nicola, Katia Falasca, Jacopo Vecchiet, Thomas Schael, Francesco Cipollone
Médium: Článek
Jazyk:English
Vydáno: MDPI AG 2020-08-01
Edice:Microorganisms
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On-line přístup:https://www.mdpi.com/2076-2607/8/9/1327
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Shrnutí:The diffusion of SARS-CoV-2, starting from China in December 2019, has led to a pandemic, reaching Italy in February 2020. Previous studies in Asia have shown that the median duration of SARS-CoV-2 viral shedding was approximately 12–20 days. We considered a cohort of patients recovered from COVID-19 showing that the median disease duration between onset and end of COVID-19 symptoms was 27.5 days (interquartile range (IQR): 17.0–33.2) and that the median duration between onset of symptoms and microbiological healing, defined by two consecutive negative nasopharyngeal swabs, was 38 days (IQR: 31.7–50.2). A longer duration of COVID-19 with delayed clinical healing (symptom-free) occurred in patients presenting at admission a lower PaO<sub>2</sub>/FiO<sub>2</sub> ratio (<i>p</i> < 0.001), a more severe clinical presentation (<i>p</i> = 0.001) and a lower lymphocyte count (<i>p</i> = 0.035). Moreover, patients presenting at admission a lower PaO<sub>2</sub>/FiO<sub>2</sub> ratio and more severe disease showed longer viral shedding (<i>p</i> = 0.031 and <i>p</i> = 0.032, respectively). In addition, patients treated with corticosteroids had delayed clinical healing (<i>p</i> = 0.013).
ISSN:2076-2607