Prevalence of SARS-CoV-2 in Patients with Severe Pneumonia in Khuzestan Province, Iran

Iran J Allergy Asthma Immunol. 2020 Oct 18;19(5):471-477. doi: 10.18502/ijaai.v19i5.4462.

Abstract

The emergence of a highly pathogenic virus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) accounts for severe pneumonia throughout the world. More than 7 million world population have been infected with SARS-CoV-2, and the number of deaths is increasing every day. This study aimed to evaluate the frequency of SARS-CoV-2 in hospitalized patients with an acute respiratory infection (ARI). During an outbreak of the SARS-CoV-2, the nasopharyngeal and oropharyngeal swabs were collected from 909 hospitalized patients with severe pneumonia, including 517 (56.9%) males and 392 (43.1%) females. All the collected samples were from different cities of Khuzestan province from 19 February to- 27 March 2020. The RNA was extracted from samples and subjected to real-time polymerase chain reaction (PCR) tests for the detection of the SARS-CoV-2. Simultaneously, the computerized tomography (CT) scan was tested for the presence of ground-glass opacity in the lung among the patients. Of the total number of 909 specimens, 328 (36.08%) cases, including 185 (20.35%) females and 143 (15.73%) males, were positive for the SARS-CoV-2 while, 581 (63.9%) cases, including 374 (41.14%) males and 207 (22.77%) were negative for the SARS-CoV-2 by real-time PCR (p=0.001).Four hundred sixteen (45.76%) cases were positive for ground-glass opacity in the lung by CT scan, while 328/909 (36.08%) trials proved positive for SARS-CoV-2 by the real-time PCR (p=0.003). In this study, 36.08% of patients were positive for SARS-CoV-2. Although the results of positive cases by CT scan showed higher than real-time PCR, screening the SARS-COV-2 with a real-time PCR method is the first line of choice.

Keywords: Nucleocapsid protein; Pneumonia; Real-time polymerase chain reaction; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • C-Reactive Protein / metabolism
  • COVID-19 / diagnosis
  • COVID-19 / epidemiology*
  • COVID-19 Nucleic Acid Testing
  • Child
  • Child, Preschool
  • Female
  • Hospitalization*
  • Humans
  • Infant
  • Iran / epidemiology
  • Lung / diagnostic imaging*
  • Lymphopenia / epidemiology
  • Male
  • Middle Aged
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / virology
  • Prevalence
  • SARS-CoV-2
  • Severity of Illness Index
  • Tomography, X-Ray Computed
  • Young Adult

Substances

  • C-Reactive Protein