New onset of loss of smell or taste in household contacts of home-isolated SARS-CoV-2-positive subjects

Eur Arch Otorhinolaryngol. 2020 Sep;277(9):2637-2640. doi: 10.1007/s00405-020-06066-9. Epub 2020 May 24.

Abstract

Purpose: To estimate the prevalence of smell or taste impairment in household contacts of mildly symptomatic home-isolated SARS-CoV-2-positive patients.

Methods: Cross-sectional study based on ad hoc questions.

Results: Of 214 mildly symptomatic COVID-19 patients managed at home under self-isolation, 179 reported to have at least one household contact, with the total number of no study participants contacts being 296. Among 175 household contacts not tested for SARS-CoV-2 infection, 67 (38.3%) had SARS-CoV-2 compatible symptoms, 39 (22.3%) had loss of smell or taste with 7 (4.0%) having loss of smell or taste in the absence of other symptoms. The prevalence of smell or taste impairment was 1.5% in patients tested negative compared to 63.0% of those tested positive for SARS-CoV-2 (p < 0.001).

Conclusion: Smell or taste impairment are quite common in not-tested household contacts of mildly symptomatic home-isolated SARS-CoV-2-positive patients. This should be taken into account when estimating the burden of loss of sense of smell and taste during COVID-19 pandemic, and further highlights the value of loss of sense of smell and taste as a marker of infection.

Keywords: Anosmia; COVID-19; Coronavirus; Household contacts; Smell and taste loss.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Contact Tracing
  • Coronavirus Infections
  • Cross-Sectional Studies
  • Dysgeusia / diagnosis
  • Dysgeusia / epidemiology
  • Dysgeusia / etiology*
  • Family
  • Female
  • Humans
  • Male
  • Olfaction Disorders / diagnosis
  • Olfaction Disorders / etiology*
  • Olfaction Disorders / virology
  • Pandemics
  • Pneumonia, Viral
  • Prevalence
  • SARS-CoV-2
  • Smell
  • Taste / physiology*
  • Taste Disorders / diagnosis
  • Taste Disorders / epidemiology
  • Taste Disorders / etiology*
  • Taste Disorders / virology