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Epub 2020 May 13. A study on infectivity of asymptomatic SARS-CoV-2 carriers Ming Gao ^ 1 <#affiliation-1> , Lihui Yang ^ 2 <#affiliation-2> , Xuefu Chen ^ 3 <#affiliation-3> , Yiyu Deng ^ 4 <#affiliation-4> , Shifang Yang ^ 5 <#affiliation-5> , Hanyi Xu ^ 6 <#affiliation-6> , Zixing Chen ^ 7 <#affiliation-7> , Xinglin Gao ^ 8 <#affiliation-8> Affiliations Expand Affiliations * ^1 The Second School of Clinical Medicine, Southern Medical University, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510515, China. Electronic address: 741621766@qq.com. * ^2 Hospital Infection Control Division, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China. Electronic address: smylh007@163.com. * ^3 Department of Infectious Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China. Electronic address: chenxuefu1992@163.com. * ^4 Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, 510080, China. Electronic address: yiyudeng666@163.com. * ^5 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: huanjunyang82@163.com. * ^6 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: yixu360@126.com. * ^7 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: 1208843244@qq.com. * ^8 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: xinglingao@hotmail.com. * PMID: *32513410* * PMCID: PMC7219423 * DOI: 10.1016/j.rmed.2020.106026 Free PMC article Item in Clipboard A study on infectivity of asymptomatic SARS-CoV-2 carriers Ming Gao et al. Respir Med. 2020 Aug. Free PMC article Show details Respir Med Actions * Search in PubMed * Search in NLM Catalog * Add to Search <#> . 2020 Aug;169:106026. doi: 10.1016/j.rmed.2020.106026. Epub 2020 May 13. Authors Ming Gao ^ 1 <#affiliation-1> , Lihui Yang ^ 2 <#affiliation-2> , Xuefu Chen ^ 3 <#affiliation-3> , Yiyu Deng ^ 4 <#affiliation-4> , Shifang Yang ^ 5 <#affiliation-5> , Hanyi Xu ^ 6 <#affiliation-6> , Zixing Chen ^ 7 <#affiliation-7> , Xinglin Gao ^ 8 <#affiliation-8> Affiliations * ^1 The Second School of Clinical Medicine, Southern Medical University, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510515, China. Electronic address: 741621766@qq.com. * ^2 Hospital Infection Control Division, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China. Electronic address: smylh007@163.com. * ^3 Department of Infectious Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China. Electronic address: chenxuefu1992@163.com. * ^4 Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, 510080, China. Electronic address: yiyudeng666@163.com. * ^5 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: huanjunyang82@163.com. * ^6 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: yixu360@126.com. * ^7 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: 1208843244@qq.com. * ^8 Department of Respiratory and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangdong Provincial Geriatrics Institute, Guangzhou, 510080, China. Electronic address: xinglingao@hotmail.com. * PMID: *32513410* * PMCID: PMC7219423 * DOI: 10.1016/j.rmed.2020.106026 Item in Clipboard Full-text links CiteFavorites Abstract *Background: * An ongoing outbreak of coronavirus disease 2019 (COVID-19) has spread around the world. It is debatable whether asymptomatic COVID-19 virus carriers are contagious. We report here a case of the asymptomatic patient and present clinical characteristics of 455 contacts, which aims to study the infectivity of asymptomatic carriers. *Material and methods: * 455 contacts who were exposed to the asymptomatic COVID-19 virus carrier became the subjects of our research. They were divided into three groups: 35 patients, 196 family members and 224 hospital staffs. We extracted their epidemiological information, clinical records, auxiliary examination results and therapeutic schedules. *Results: * The median contact time for patients was four days and that for family members was five days. Cardiovascular disease accounted for 25% among original diseases of patients. Apart from hospital staffs, both patients and family members were isolated medically. During the quarantine, seven patients plus one family member appeared new respiratory symptoms, where fever was the most common one. The blood counts in most contacts were within a normal range. All CT images showed no sign of COVID-19 infection. No severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections was detected in 455 contacts by nucleic acid test. *Conclusion: * In summary, all the 455 contacts were excluded from SARS-CoV-2 infection and we conclude that the infectivity of some asymptomatic SARS-CoV-2 carriers might be weak. *Keywords: * Asymptomatic carrier; Contacts; Infectivity; SARS-CoV-2. Copyright © 2020 Elsevier Ltd. All rights reserved. Conflict of interest statement Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Figures Fig. 1 * Fig. 1 * 5 *Chest CT images of Case… * * Fig. 1 * 13 *Chest CT images of Case A. * Figure a and c were taken on… *Fig. 1* *Chest CT images of Case A.* Figure a and c were taken on February 11, which showed non- COVID-19 imaging feature. Case A underwent a CT scan again on February 22. Figure b and d, the follow-up images, showed no significant differences than before. See this image and copyright information in PMC <#> Similar articles * Efficacy of hydroxychloroquine for post-exposure prophylaxis to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among adults exposed to coronavirus disease (COVID-19): a structured summary of a study protocol for a randomised controlled trial. Barnabas RV, Brown E, Bershteyn A, Miller RS, Wener M, Celum C, Wald A, Chu H, Wesche D, Baeten JM; Hydroxychloroquine COVID-19 PEP Study Team. Barnabas RV, et al. Trials. 2020 Jun 3;21(1):475. doi: 10.1186/s13063-020-04446-4. Trials. 2020. PMID: 32493478 Free PMC article. Clinical Trial. * The implications of preliminary screening and diagnosis: Clinical characteristics of 33 mild patients with SARS-CoV-2 infection in Hunan, China. Yin S, Peng Y, Ren Y, Hu M, Tang L, Xiang Z, Li X, Wang M, Wang W. Yin S, et al. 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