Comorbidities prolonged viral shedding of patients infected with SARS-CoV-2 omicron variant in Shanghai: A multi-center, retrospective, observational study

Autor: Lei Pei, Ying Chen, Xiangtao Zheng, Fangchen Gong, Wenbin Liu, Jingsheng Lin, Ruizhi Zheng, Zhitao Yang, Yufang Bi, Erzhen Chen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Infection and Public Health, Vol 16, Iss 2, Pp 182-189 (2023)
Druh dokumentu: article
ISSN: 1876-0341
DOI: 10.1016/j.jiph.2022.12.003
Popis: Background: As the omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) surges amid the coronavirus disease 2019 (COVID-19) pandemic, there is limited comorbidities data associated with viral shedding time (VST). We aimed to investigate the effect of comorbidities on VST in asymptomatic and mild patients with omicron. Methods: A multi-center, retrospective, observational study was conducted from March 12, 2022 to May 24, 2022 in Shanghai. The analysis was adjusted for patients’ baseline demographic, using log-rank test and logistic regression model. Results: The study enrolled 198,262 subjects. The median duration of viral shedding time (VST) was 8.29 days. The number of cumulative viral shedding events was significantly lower in the chronic obstructive pulmonary disease (COPD), hyperlipidemia, diabetes, urinary system disease, and cardiocerebrovascular disease than in the no corresponding comorbidities group. Patients with comorbidities had a lower incidence of viral shedding, and the most significant independent risk factor is COPD (aOR 1.78, 95% CI: 1.53–2.08, p
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