Cross-sectional assessment of SARS-CoV-2 viral load by symptom status in Massachusetts congregate living facilities.

J Infect Dis
Authors
Abstract

Transmission of COVID-19 from people without symptoms confounds societal mitigation strategies. From April to June 2020, we tested nasopharyngeal swabs by RT-qPCR from 15,514 staff and 16,966 residents of nursing homes and assisted living facilities in Massachusetts. Cycle threshold (Ct) distributions were very similar between populations with (N = 739) and without (N = 2179) symptoms at the time of sampling (mean Ct 25.7 versus 26.4, ranges 12-38). However, as local cases waned, those without symptoms shifted towards higher Ct. With such similar viral load distributions, existing testing modalities should perform comparably regardless of symptoms, contingent upon time since infection.

Year of Publication
2021
Journal
J Infect Dis
Date Published
2021 Jul 13
ISSN
1537-6613
DOI
10.1093/infdis/jiab367
PubMed ID
34255846
PubMed Central ID
PMC8420626
Links
Additional Materials