Estimating infectiousness throughout SARS-CoV-2 infection course
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Estimating infectiousness throughout SARS-CoV-2 infection course. / Jones, Terry C; Biele, Guido; Mühlemann, Barbara; Veith, Talitha; Schneider, Julia; Beheim-Schwarzbach, Jörn; Bleicker, Tobias; Tesch, Julia; Schmidt, Marie Luisa; Sander, Leif Erik; Kurth, Florian; Menzel, Peter; Schwarzer, Rolf; Zuchowski, Marta; Hofmann, Jörg; Krumbholz, Andi; Stein, Angela; Edelmann, Anke; Corman, Victor Max; Drosten, Christian.
In: SCIENCE, Vol. 373, No. 6551, eabi5273, 09.07.2021.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Estimating infectiousness throughout SARS-CoV-2 infection course
AU - Jones, Terry C
AU - Biele, Guido
AU - Mühlemann, Barbara
AU - Veith, Talitha
AU - Schneider, Julia
AU - Beheim-Schwarzbach, Jörn
AU - Bleicker, Tobias
AU - Tesch, Julia
AU - Schmidt, Marie Luisa
AU - Sander, Leif Erik
AU - Kurth, Florian
AU - Menzel, Peter
AU - Schwarzer, Rolf
AU - Zuchowski, Marta
AU - Hofmann, Jörg
AU - Krumbholz, Andi
AU - Stein, Angela
AU - Edelmann, Anke
AU - Corman, Victor Max
AU - Drosten, Christian
N1 - Copyright © 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
PY - 2021/7/9
Y1 - 2021/7/9
N2 - Two elementary parameters for quantifying viral infection and shedding are viral load and whether samples yield a replicating virus isolate in cell culture. We examined 25,381 cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Germany, including 6110 from test centers attended by presymptomatic, asymptomatic, and mildly symptomatic (PAMS) subjects, 9519 who were hospitalized, and 1533 B.1.1.7 lineage infections. The viral load of the youngest subjects was lower than that of the older subjects by 0.5 (or fewer) log10 units, and they displayed an estimated ~78% of the peak cell culture replication probability; in part this was due to smaller swab sizes and unlikely to be clinically relevant. Viral loads above 109 copies per swab were found in 8% of subjects, one-third of whom were PAMS, with a mean age of 37.6 years. We estimate 4.3 days from onset of shedding to peak viral load (108.1 RNA copies per swab) and peak cell culture isolation probability (0.75). B.1.1.7 subjects had mean log10 viral load 1.05 higher than that of non-B.1.1.7 subjects, and the estimated cell culture replication probability of B.1.1.7 subjects was higher by a factor of 2.6.
AB - Two elementary parameters for quantifying viral infection and shedding are viral load and whether samples yield a replicating virus isolate in cell culture. We examined 25,381 cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Germany, including 6110 from test centers attended by presymptomatic, asymptomatic, and mildly symptomatic (PAMS) subjects, 9519 who were hospitalized, and 1533 B.1.1.7 lineage infections. The viral load of the youngest subjects was lower than that of the older subjects by 0.5 (or fewer) log10 units, and they displayed an estimated ~78% of the peak cell culture replication probability; in part this was due to smaller swab sizes and unlikely to be clinically relevant. Viral loads above 109 copies per swab were found in 8% of subjects, one-third of whom were PAMS, with a mean age of 37.6 years. We estimate 4.3 days from onset of shedding to peak viral load (108.1 RNA copies per swab) and peak cell culture isolation probability (0.75). B.1.1.7 subjects had mean log10 viral load 1.05 higher than that of non-B.1.1.7 subjects, and the estimated cell culture replication probability of B.1.1.7 subjects was higher by a factor of 2.6.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Asymptomatic Infections
KW - COVID-19/diagnosis
KW - COVID-19 Nucleic Acid Testing
KW - Caco-2 Cells
KW - Child
KW - Child, Preschool
KW - Female
KW - Germany
KW - Hospitalization
KW - Humans
KW - Infant
KW - Male
KW - Middle Aged
KW - Probability
KW - SARS-CoV-2/isolation & purification
KW - Viral Load
KW - Virus Replication
KW - Virus Shedding
KW - Young Adult
U2 - 10.1126/science.abi5273
DO - 10.1126/science.abi5273
M3 - SCORING: Journal article
C2 - 34035154
VL - 373
JO - SCIENCE
JF - SCIENCE
SN - 0036-8075
IS - 6551
M1 - eabi5273
ER -