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The Relationship Between Covid-19 Viral Load and Disease Severity: A Systematic Review Publisher Pubmed



Dadras O1 ; Afsahi AM2 ; Pashaei Z3 ; Mojdeganlou H4 ; Karimi A5 ; Habibi P3 ; Barzegary A6 ; Fakhfouri A6 ; Mirzapour P3 ; Janfaza N7 ; Dehghani S5 ; Afroughi F6, 8 ; Dashti M9 ; Khodaei S3 Show All Authors
Authors
  1. Dadras O1
  2. Afsahi AM2
  3. Pashaei Z3
  4. Mojdeganlou H4
  5. Karimi A5
  6. Habibi P3
  7. Barzegary A6
  8. Fakhfouri A6
  9. Mirzapour P3
  10. Janfaza N7
  11. Dehghani S5
  12. Afroughi F6, 8
  13. Dashti M9
  14. Khodaei S3
  15. Mehraeen E10
  16. Voltarelli F11
  17. Sabatier JM12
  18. Seyedalinaghi S3
Show Affiliations
Authors Affiliations
  1. 1. The Excellent Center for Dengue and Community Public Health (EC for DACH), School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand
  2. 2. Department of Radiology, School of Medicine, University of California, San Diego (UCSD), La Jolla, CA, United States
  3. 3. Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Pathology, Urmia University of Medical Sciences, Urmia, Iran
  5. 5. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. School of Medicine, Islamic Azad University, Tehran, Iran
  7. 7. Internal Medicine Department, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran
  10. 10. Department of Health Information Technology, Khalkhal University of Medical Sciences, Khalkhal, Iran
  11. 11. Graduation Program of Health Sciences, Faculty of Medicine, Federal University of Mato Grosso, Cuiaba, Brazil
  12. 12. Universite Aix-Marseille, Institut deNeuro-physiopathologie (INP), UMR 7051, Faculte de Pharmacie, Marseille, France

Source: Immunity# Inflammation and Disease Published:2022


Abstract

Introduction: Patients with COVID-19 may present different viral loads levels. However, the relationship between viral load and disease severity in COVID-19 is still unknown. Therefore, this study aimed to systematically review the association between SARS-CoV-2 viral load and COVID-19 severity. Methods: The relevant studies using the keywords of “COVID-19” and “viral load” were searched in the databases of PubMed, Scopus, Google Scholar, and Web of Science. A two-step title/abstract screening process was carried out and the eligible studies were included in the study. Results: Thirty-four studies were included from the initial 1015 records. The vast majority of studies have utilized real-time reverse transcription-polymerase chain reaction of the nasopharyngeal/respiratory swabs to report viral load. Viral loads were commonly reported either as cycle threshold (Ct) or log10 RNA copies/ml. Conclusion: The results were inconclusive about the relationship between COVID-19 severity and viral load, as a similar number of studies either approved or opposed this hypothesis. However, the studies denote the direct relationship between older age and higher SARS-CoV-2 viral load, which is a known risk factor for COVID-19 mortality. The higher viral load in older patients may serve as a mechanism for any possible relationships between COVID-19 viral load and disease severity. There was a positive correlation between SARS-CoV-2 viral load and its transmissibility. Nonetheless, further studies are recommended to precisely characterize this matter. © 2021 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd.
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