Evidence map›Paper›PMID 36452353›Full record

ArticleFrontiers in pediatrics2022

SARS-CoV-2 viral clearance and viral load kinetics in young children (1-6 years) compared to adults: Results of a longitudinal study in Germany.

Anna Sandoni, Angelika Schaffrath Rosario, Janine Michel, Tim Kuttig, Juliane Wurm, Stefan Damerow, Helena Iwanowski, Bianca Finkel, Livia Schrick, Udo Buchholz and 7 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

17 authors at 1 institution in 1 country.

Anna SandoniDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Angelika Schaffrath RosarioDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Janine MichelCentre for Biological Threats and Special Pathogens, Robert Koch Institute, Berlin, Germany.
Tim KuttigDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Juliane WurmDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Stefan DamerowDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Helena IwanowskiDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Bianca FinkelDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Livia SchrickCentre for Biological Threats and Special Pathogens, Robert Koch Institute, Berlin, Germany.
Udo BuchholzDepartment of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
Walter HaasDepartment of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
Gianni VarnacciaDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Ulrike KubischDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Susanne JordanDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Anja SchienkiewitzDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Andreas NitscheCentre for Biological Threats and Special Pathogens, Robert Koch Institute, Berlin, Germany.
Julika LossDepartment of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Robert Koch Institute · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate SARS-COV-2 viral clearance and viral load kinetics in the course of infection in children aged 1-6 years in comparison with adults. Methods: Prospective cohort study of infected daycare children and staff and their close contacts in households from 11/2020 to 06/2021. Adult participants took upper respiratory tract specimen from themselves and/or their children, for PCR tests on SARS-CoV-2. Data on symptoms and exposure were used to determine the date of probable infection for each participant. We determined (a) viral clearance, and (b) viral load dynamics over time. Samples were taken from day 4-6 to day 16-18 after diagnosis of the index case in the respective daycare group (5 samples per participant). Results: We included 40 children (1-6 years) and 67 adults (18-77 years) with SARS-CoV-2 infection. Samples were available at a mean of 4.3 points of time per participant. Among the participants, the 12-day study period fell in different periods within the individual course of infection, ranging from day 5-17 to day 15-26 after assumed infection.Children reached viral clearance at a median of 20 days after assumed infection (95% CI 17-21 days, Kaplan-Meier Analysis), adults at 23 days (95% CI 20-25 days, difference not significant). In both children and adults, viral load decreased over time with trajectories of the mean viral load not being statistically different between groups. Kaplan-Meier calculations show that from day 15 (95% CI 13-15), 50% of all participants had a viral load <1 million copies/ml, i.e. were no longer infectious or negative. Conclusion: Children aged 1-6 and adults infected with SARS-CoV-2 (wild type and Alpha variant) did not differ significantly in terms of viral load kinetics and time needed to clear the virus. Therefore, containment measures are important also in the daycare settings as long as the pandemic continues.

Indexed as

COVID - 19daycare centerinfectiousness childreninfectivity childrenSARS-CoV-2 childrenviral clearanceviral loadviral shedding

Identifiers

PMID36452353
PMCPMC9702089
OpenAlexW4309042780

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.