Evidence map›Paper›PMID 33658220›Full record

ArticleBMJ case reports2021

Persistent positivity of SARS-CoV-2 nucleic acid in asymptomatic healthcare worker: infective virion or inactive nucleic acid?

Lokesh Tiwari, Prakriti Gupta, Chandra Mani Singh, Prabhat Kumar Singh

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Lokesh TiwariPediatrics, All India Institute of Medical Sciences, Patna, India lokeshdoc@yahoo.com.ORCID http://orcid.org/0000-0002-2231-0152
Prakriti GuptaPediatrics, All India Institute of Medical Sciences, Patna, India.ORCID http://orcid.org/0000-0001-9923-6897
Chandra Mani SinghCommunity and Family Medicine, All India Institute of Medical Sciences, Patna, India.
Prabhat Kumar SinghDirector, All India Institute of Medical Sciences, Patna, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asymptomatic individuals positive for SARS-CoV-2 RNA constitute a significant proportion of the infected population and play a role in the transmission of the virus. We describe a healthcare worker who presented with fever and malaise and was diagnosed with mild COVID-19. The symptoms resolved within 4 days but there was persistent positivity of viral RNA in the upper respiratory tract for more than 58 days, which is the longest reported duration of persistence of SARS-CoV-2 in a healthcare worker. In this case report, we discuss clinical and administrative issues such as the role of asymptomatic cases in the transmission of the virus to patients and coworkers as an occupational hazard, interpretation of persistent positivity of nucleic acid test, duration of isolation and return-to-work guidelines pertinent to researchers and global health policymakers.

Indexed as

Asymptomatic InfectionsHealth PersonnelCOVID-19COVID-19 Nucleic Acid TestingHumansNasopharynxNucleic AcidsRNA, ViralSARS-CoV-2Viral LoadVirionNucleic AcidsRNA, ViralCOVID-19global healthhealthcare improvement and patient safetyinfectious diseases

Identifiers

PMID33658220
PMCPMC7931751
OpenAlexW3134151984

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.