SARS-CoV-2 Clinical Characteristics and Viral Shedding in Kuwait

Med Princ Pract. 2022;31(1):93-97. doi: 10.1159/000521408. Epub 2021 Dec 9.

Abstract

Objectives: We aimed to describe the clinical characteristics of SARS-CoV-2 infection and estimate viral shedding duration in respiratory specimens.

Methods: A retrospective cohort study was performed from February 25 to March 25, 2020. In Kuwait, all suspected coronavirus disease 2019 (COVID-19) cases, contacts of cases, and returning travelers were systematically tested for SARS-CoV-2 by RT-PCR. All infected persons, regardless of symptoms, were hospitalized and serially tested until they had two negative results. Descriptive statistics and regression analyses were performed.

Results: Two hundred seven cases of SARS-CoV-2 infection were included in this study. About half of the cases were asymptomatic and 1.9% died. The median time to negative RT-PCR was 22 days. Increasing age, ARDS, and low peripheral white blood cell count were associated with prolonged PCR positivity.

Conclusion: Predictors for prolonged RT-PCR positivity included increasing age, ARDS, and low white blood cell count. The findings of this study may aid in better understanding of the epidemiology of SARS-CoV-2 infection and molecular testing dynamics.

Keywords: Coronavirus disease-19; Epidemiology; Hospitalization; Severe acute respiratory syndrome-related coronavirus-2; Shedding.

Publication types

  • News

MeSH terms

  • Adult
  • COVID-19 Nucleic Acid Testing
  • COVID-19* / epidemiology
  • Female
  • Hospitalization
  • Humans
  • Kuwait / epidemiology
  • Male
  • Middle Aged
  • Nasopharynx / virology*
  • Oropharynx / virology*
  • Respiratory Distress Syndrome
  • Retrospective Studies
  • SARS-CoV-2* / genetics
  • SARS-CoV-2* / isolation & purification
  • Virus Shedding*