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. 2020 Sep 18;106(4):678–697. doi: 10.1016/j.jhin.2020.09.022

Table III.

Frequency and magnitude of SARS-CoV-2 viral RNA load in respiratory tract samples obtained from COVID-19 patients in selected studies

Number of COVID 19 patients Respiratory tract symptoms Viral RNA load Additional information Reference
76 74 with symptoms (97.4%)
2 without symptoms (2.6%)
4.2 log10 cps (sputum)
3.4 log10 cps (throat)
2.8 log10 cps (nasal)
Viral RNA load high in early and progressive stage of COVID-19 [16]
9 Not described 5.5–5.8 log10 cps (pharyngeal swab)
6.8 log10 cpm (sputum)
Lower viral RNA load in whole swab samples after day 5; infectious virus isolated by culture was only detected during the first week of symptoms (16.7% of swab samples; 83.3% in sputum samples); no isolates were obtained from samples taken after day 8 in spite of ongoing high viral RNA loads [7]
6 5 with symptoms (83.3%)
1 without symptoms (12.7%)
1.0–4.0 log10 cpc (nasopharyngeal swab)
1.0–3.0 log10 cpc (nasopharyngeal swab)
Viral secretion stopped after 5–17 days (median: 11 days) [202]
5 All with symptoms 1.0–7.4 log10 cpc (nasopharyngeal swab) Viral RNA load decreased over time; 1 patient with virus detection after 24 days (death of patient) [11]
23 All with symptoms 4.1–7.0 log10 cpm (posterior oropharyngeal saliva)∗∗ Old age was associated with high viral RNA load; salivary viral RNA load was highest during the first week after symptom onset; one patient had viral RNA detected for up to 25 days after symptom onset [15]
15 All with symptoms 4.6 log10 cpm (respiratory tract specimen) None [152]
1 With symptoms 6.5 log10 cpm (pooled nasopharyngeal and throat swabs)
6.8 log10 cpm (sputum)
None [95]
82 With symptoms 2.8–11.1 log10 cpm (1 nasal swab, 67 throat swabs and 42 sputum) Median in sputum: 5.9 log10 cpm
Median in throat samples: 4.9 log10 cpm
[13]
2 All with symptoms 4.7–7.7 log10 cpm (naso- and oropharyngeal swabs)
5.6–7.0 log10 cpm (sputum)
None [203]
18 17 with symptoms (94.4%)
1 without symptoms (5.6%)
Up to 7.2 log10 cpm (nasal and throat swabs) Viral RNA load decreased over time [5]

cpc, copies per 1000 cells; cpm, copies per mL; cps, copies per whole swab or sample.

Mean.

∗∗

Three patients with negative RNA test in saliva.