Evidence map›Paper›PMID 33808867›Full record

SynthesisViruses2021

Repeated SARS-CoV-2 Positivity: Analysis of 123 Cases.

Szilárd Váncsa, Fanni Dembrovszky, Nelli Farkas, Lajos Szakó, Brigitta Teutsch, Stefania Bunduc, Rita Nagy, Andrea Párniczky, Bálint Erőss, Zoltán Péterfi and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Clinical Characteristics and Outcomes of Patients With SARS-CoV-2 Reinfection.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022
    Article
  11. Article
  12. Article
  13. Evidence of SARS-CoV-2 symptomatic reinfection in four healthcare professionals from the same hospital despite the presence of antibodies.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  14. Article
  15. Article
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  17. Observational
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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

11 authors.

Szilárd VáncsaInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0002-9347-8163
Fanni DembrovszkyInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0001-6953-3591
Nelli FarkasInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Lajos SzakóInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0001-9783-4076
Brigitta TeutschInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Stefania BunducInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Rita NagyInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.ORCID 0000-0002-2663-4912
Andrea PárniczkyInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Bálint ErőssInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Zoltán PéterfiDivision of Infectious Diseases, First Department of Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Péter HegyiInstitute for Translational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.

Funding

European Regional Development Fund GINOP-2.3.4-15-2020-00010
6 · The paper itself

Abstract

Repeated positivity and reinfection with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) is a significant concern. Our study aimed to evaluate the clinical significance of repeatedly positive testing after coronavirus disease 2019 (COVID-19) recovery. We performed a systematic literature search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. With available individual patient data reporting on repeatedly SARS-CoV-2 positive (RSP) patients, case reports, and case series were included in this analysis. We performed a descriptive analysis of baseline characteristics of repeatedly positive cases. We assessed the cases according to the length of their polymerase chain reaction (PCR) negative interval between the two episodes. Risk factors for the severity of second episodes were evaluated. Overall, we included 123 patients with repeated positivity from 56 publications, with a mean repeated positivity length of 47.8 ± 29.9 days. Younger patients were predominant in the delayed (>90 days) recurrent positive group. Furthermore, comparing patients with RSP intervals of below 60 and above 60 days, we found that a more severe disease course can be expected if the repeated positivity interval is shorter. Severe and critical disease courses might predict future repeatedly positive severe and critical COVID-19 episodes. In conclusion, our results show that the second episode of SARS-CoV-2 positivity is more severe if it happens within 60 days after the first positive PCR. On the other hand, the second episode's severity correlates with the first.

Indexed as

AdultAgedCOVID-19FemaleHumansMaleMiddle AgedReinfectionSARS-CoV-2Young Adultcase reportsCOVID-19new coronaviruspolymerase chain reactionpositiverepeatedSARS-CoV-2systematic review

Identifiers

PMID33808867
PMCPMC8003803

What OpenQuestion holds

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LicenceCC BY
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.