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About:
Inferred duration of infectious period of SARS-CoV-2: rapid scoping review and analysis of available evidence for asymptomatic and symptomatic COVID-19 cases
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Inferred duration of infectious period of SARS-CoV-2: rapid scoping review and analysis of available evidence for asymptomatic and symptomatic COVID-19 cases
Creator
Griffin, John
More, Simon
Barber, Ann
Butler, Francis
Byrne, Andrew
Casey, Miriam
Collins, Áine
Hunt, Kevin
Lane, Elizabeth
Mcaloon, Conor
Mcevoy, David
O'brien, Kirsty
Wall, Patrick
Walsh, Kieran
Source
MedRxiv
abstract
Objectives: Our objective was to review the literature on the inferred duration of the infectious period of COVID-19, caused by SARS-COV-2 virus, and provide an overview of the variation depending on the methodological approach. Design: Rapid scoping review. Literature review with fixed search terms, up to 1st April 2020. Central tendency and variation of the parameter estimates for infectious period in (a) asymptomatic (b) symptomatic cases from (i) virological studies (repeated testing), (ii) tracing studies (iii) modelling studies were gathered. Narrative review of viral dynamics. Information sources: Search strategies developed and the following searched: PubMed, Google Scholar, MedRxiv, BioRxiv. Additionally, the Health Information Quality Authority (Ireland) viral load synthesis was utilised, which screened literature from PubMed, Embase, ScienceDirect, NHS evidence, Cochrane, medRxiv and bioRxiv, HRB open databases. Results: There was substantial variation in the estimates, and how infectious period was inferred. One study provided approximate median infectious period for asymptomatic cases of 6.5-9.5 days. Median pre-symptomatic infectious period across studies varied over <1-4 days. Estimated mean time from symptom onset to two negative RT-PCR tests was 13.4 days (95%CI: 10.9-15.8), but was shorter when studies included children or less severe cases. Estimated mean duration from symptom onset to hospital discharge or death (potential maximal infectious period) was 18.1 days (95%CI: 15.1-21.0); time to discharge was on average 4 days shorter than time-to-death. Viral dynamic data and model infectious parameters were often shorter than repeated diagnostic data. Conclusions: There are limitations of inferring infectiousness from repeated diagnosis, viral loads, and viral replication data alone, and also potential patient recall bias relevant to estimating exposure and symptom onset times. Despite this, available data provides a preliminary evidence base to inform models of central tendency for key parameters, and variation for exploring parameter space and sensitivity analysis. Some current models may be underestimating infectious period.
has issue date
2020-04-30
(
xsd:dateTime
)
bibo:doi
10.1101/2020.04.25.20079889
has license
medrxiv
sha1sum (hex)
592458f7eadad2c7a49452e6868c2ab6c3666d3f
schema:url
https://doi.org/10.1101/2020.04.25.20079889
resource representing a document's title
Inferred duration of infectious period of SARS-CoV-2: rapid scoping review and analysis of available evidence for asymptomatic and symptomatic COVID-19 cases
resource representing a document's body
covid:592458f7eadad2c7a49452e6868c2ab6c3666d3f#body_text
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named entity 'Embase'
named entity 'Our'
named entity 'virus'
named entity 'viral load'
named entity 'MedRxiv'
named entity 'bioRxiv'
named entity 'parameter estimates'
named entity 'Health Information'
named entity 'asymptomatic'
named entity 'virological'
named entity 'preprint'
named entity 'preprint'
named entity 'medRxiv'
named entity 'preprint'
named entity 'gamma distribution'
named entity 'CC-BY 4.0 International license'
named entity 'point estimates'
named entity 'central tendency'
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named entity '3.5'
named entity 'CC-BY 4.0 International license'
named entity 'probability function'
named entity 'CC-BY 4.0 International license'
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