SARS-CoV-2 viral load distribution reveals that viral loads increase with age: a retrospective cross-sectional cohort study

Autor: Jeroen W. Den Boer, Sem Aronson, Bjorn L. Herpers, Elisabeth A. M. Sanders, Ivar Lede, Steven F. L. van Lelyveld, Alex Wagemakers, Dominic Snijders, Irene Manders, Marlies A. van Houten, Sjoerd M. Euser, Ruud Jansen, Claudia van Gemeren, Erik Kapteijns, Jan Sinnige, Sophie Schuurmans Stekhoven, Dennis Souverein, Fred Slijkerman Megelink, James Cohen Stuart, Jayant Kalpoe
Rok vydání: 2021
Předmět:
Popis: ObjectiveTo describe the SARS-CoV-2 viral load distribution in different patient groups and age categories.MethodsAll SARS-CoV-2 RT-PCR results from nasopharyngeal (NP) and oropharyngeal (OP) swabs (first PCR from unique patients only) that were collected between January 1 and December 1, 2020, predominantly in the Public Health Services regions Kennemerland and Hollands Noorden, province of North Holland, the Netherlands were included in this study. Swabs were derived from patients with respiratory symptoms who were presented at the general practitioner (GP), hospital, or hospital health care workers (HCWs) of four regional hospitals, nursing home residents and HCWs of multiple nursing homes, and in majority (>75%) from Public Health testing facilities of the two Public Health Services. SARS-CoV-2 PCR crossing point (Cp) values were used to estimate viral loads (higher Cp-values indicate lower viral loads).ResultsIn total, 278.455 unique patients were tested of whom 9·1% (n=25.374) were SARS-CoV-2 positive. As there were differences in viral load distribution between tested populations, further analyses focused on PCRs performed by public health services (n=211.914) where sampling and inclusion were uniform. These data reveal a clear relation between age and SARS-CoV-2 viral load, with especially children aged79 years) and youngest (30) was significantly higher compared to the other patients (31·1% vs. 17·2%, p-valueConclusionWe observed that in patients tested by Public Health Services, SARS-CoV2 viral load increases significantly with age. Previous studies suggest that young children (
Databáze: OpenAIRE