Detection of SARS-CoV-2 in conjunctival secretions from patients without ocular symptoms

PURPOSE: To evaluate the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in conjunctival secretions from patients without ocular symptoms.

METHODS: Conjunctival swabs were prospectively collected from laboratory-confirmed Coronavirus disease 2019 (COVID-19) patients without ocular symptoms for reverse transcription-polymerase chain reaction (RT-PCR) and viral culture.

RESULTS: A total of 158 conjunctival swabs were obtained from 49 laboratory-confirmed COVID-19 patients. The median duration of illness when the first conjunctival swab was obtained was 10 days (range 2-27 days). Four conjunctival swabs from four different patients (4/49, 8.2%) were positive for SARS-CoV-2 RNA by RT-PCR. The Ct values ranged from 32.7 to 37.7 (mean 35.4). Viral cultures were negative for all four RT-PCR-positive conjunctival swabs.

CONCLUSION: Conjunctival secretions of a minority of COVID-19 patients without ocular symptoms may contain relatively low levels of SARS-CoV-2 RNA, but their infectiousness remains undetermined. Appropriate infection control measures should be implemented during ophthalmological assessment of COVID-19 patients to prevent potential nosocomial transmission of SARS-CoV-2.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Infection - 49(2021), 2 vom: 17. Apr., Seite 257-265

Sprache:

Englisch

Beteiligte Personen:

Li, Xin [VerfasserIn]
Chan, Jasper Fuk-Woo [VerfasserIn]
Li, Kenneth Kai-Wang [VerfasserIn]
Tso, Eugene Yuk-Keung [VerfasserIn]
Yip, Cyril Chik-Yan [VerfasserIn]
Sridhar, Siddharth [VerfasserIn]
Chung, Tom Wai-Hin [VerfasserIn]
Chiu, Kelvin Hei-Yeung [VerfasserIn]
Hung, Derek Ling-Lung [VerfasserIn]
Wu, Alan Ka-Lun [VerfasserIn]
Chau, Sandy Ka-Yee [VerfasserIn]
Liu, Raymond [VerfasserIn]
Lung, Kwok-Cheung [VerfasserIn]
Tam, Anthony Raymond [VerfasserIn]
Cheng, Vincent Chi-Chung [VerfasserIn]
To, Kelvin Kai-Wang [VerfasserIn]
Chan, Kwok-Hung [VerfasserIn]
Hung, Ivan Fan-Ngai [VerfasserIn]
Yuen, Kwok-Yung [VerfasserIn]

Links:

Volltext

Themen:

Asymptomatic
Conjunctiva
Journal Article
RNA, Viral
RT-PCR
SARS-CoV-2
Shedding

Anmerkungen:

Date Completed 06.04.2021

Date Revised 06.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s15010-020-01524-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315163194