Evidence map›Paper›PMID 33049331›Full record

ReviewThe Journal of infection2020

The duration of infectiousness of individuals infected with SARS-CoV-2.

Kieran A Walsh, Susan Spillane, Laura Comber, Karen Cardwell, Patricia Harrington, Jeff Connell, Conor Teljeur, Natasha Broderick, Cillian F de Gascun, Susan M Smith and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 2 syntheses or guidelines pooled it, 170 citations in OpenAlex.

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  4. The role of mouthwash sampling in SARS-CoV-2 diagnosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Kieran A WalshHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland. Electronic address: kiwalsh@hiqa.ie.
Susan SpillaneHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland.
Laura ComberHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland.
Karen CardwellHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland; Health Research Board Centre for Primary Care Research, Department of General Practice, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland.
Patricia HarringtonHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland.
Jeff ConnellNational Virus Reference Laboratory, University College Dublin, Belfield, Dublin 4, Ireland.
Conor TeljeurHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland.
Natasha BroderickHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland.
Cillian F de GascunNational Virus Reference Laboratory, University College Dublin, Belfield, Dublin 4, Ireland.
Susan M SmithHealth Research Board Centre for Primary Care Research, Department of General Practice, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland.
Máirín RyanHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland; Department of Pharmacology & Therapeutics, Trinity College Dublin, Trinity Health Sciences, James Street, Dublin 8, Ireland.
Michelle O'NeillHealth Information and Quality Authority, Smithfield, Dublin 7, Ireland.
Health and Safety Authority · IEHealth Information and Quality AuthorityUniversity College Dublin · IEHealth Research Board · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo summarise the evidence on the duration of infectiousness of individuals in whom SARS-CoV-2 ribonucleic acid is detected.

methodsA rapid review was undertaken in PubMed, Europe PubMed Central and EMBASE from 1 January 2020 to 26 August 2020.

resultsWe identified 15 relevant studies, including 13 virus culture and 2 contact tracing studies. For 5 virus culture studies, the last day on which SARS-CoV-2 was isolated occurred within 10 days of symptom onset. For another 5 studies, SARS-CoV-2 was isolated beyond day 10 for approximately 3% of included patients. The remaining 3 virus culture studies included patients with severe or critical disease; SARS-CoV-2 was isolated up to day 32 in one study. Two studies identified immunocompromised patients from whom SARS-CoV-2 was isolated for up to 20 days. Both contact tracing studies, when close contacts were first exposed greater than 5 days after symptom onset in the index case, found no evidence of laboratory-confirmed onward transmission of SARS-CoV-2.

conclusionCOVID-19 patients with mild-to-moderate illness are highly unlikely to be infectious beyond 10 days of symptoms. However, evidence from a limited number of studies indicates that patients with severe-to-critical illness or who are immunocompromised, may shed infectious virus for longer.

Indexed as

Contact TracingCOVID-19Disease Transmission, InfectiousHumansPatient IsolationReverse Transcriptase Polymerase Chain ReactionRNA, ViralSARS-CoV-2Severity of Illness IndexTime FactorsViral LoadRNA, ViralContact tracingCoronavirusCOVID-19InfectiousnessIsolationReviewRNASARS-CoV-2Virus culture

Identifiers

PMID33049331
PMCPMC7547320
OpenAlexW3092430350

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.