SARS‐CoV‐2 Presence in the Saliva, Tears, and Cerumen of COVID‐19 Patients

Objectives/Hypothesis The emergence of a new coronavirus strain (SARS‐CoV‐2) in December 2019 from China led to a global pandemic. The lack of herd immunity against this virus and the possibility of viral spread from asymptomatic individuals is still a major challenge for the prevention of viral tra...

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Veröffentlicht in:The Laryngoscope 2021-05, Vol.131 (5), p.E1677-E1682
Hauptverfasser: Hanege, Fatih M., Kocoglu, Esra, Kalcioglu, Mahmut T., Celik, Serdal, Cag, Yasemin, Esen, Fehim, Bayindir, Eray, Pence, Sadrettin, Alp Mese, Emine, Agalar, Canan
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container_issue 5
container_start_page E1677
container_title The Laryngoscope
container_volume 131
creator Hanege, Fatih M.
Kocoglu, Esra
Kalcioglu, Mahmut T.
Celik, Serdal
Cag, Yasemin
Esen, Fehim
Bayindir, Eray
Pence, Sadrettin
Alp Mese, Emine
Agalar, Canan
description Objectives/Hypothesis The emergence of a new coronavirus strain (SARS‐CoV‐2) in December 2019 from China led to a global pandemic. The lack of herd immunity against this virus and the possibility of viral spread from asymptomatic individuals is still a major challenge for the prevention of viral transmission. The aim of this study was to evaluate the presence of the virus in different bodily secretions as a potential source of viral spread among patients infected with SARS‐CoV‐2. Study Design Cross Sectional Study. Methods The study included 38 COVID‐19 patients with a positive real‐time polymerase chain reaction (RT‐PCR) test result for SARS‐CoV‐2, obtained from the combined nasopharyngeal–oropharyngeal swab samples. Saliva, tear, and cerumen samples were taken from the patients within 72 hours of the first RT‐PCR test. SARS‐CoV‐2 N1 and N2 gene regions were studied with single‐step RT‐PCR in all samples. Results Among the studied samples, the highest positivity rate was in saliva (76.3%) followed by tears (55.3%) and cerumen (39.5%). Viral load in saliva was also significantly higher compared to tears and cerumen (P
doi_str_mv 10.1002/lary.29218
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The lack of herd immunity against this virus and the possibility of viral spread from asymptomatic individuals is still a major challenge for the prevention of viral transmission. The aim of this study was to evaluate the presence of the virus in different bodily secretions as a potential source of viral spread among patients infected with SARS‐CoV‐2. Study Design Cross Sectional Study. Methods The study included 38 COVID‐19 patients with a positive real‐time polymerase chain reaction (RT‐PCR) test result for SARS‐CoV‐2, obtained from the combined nasopharyngeal–oropharyngeal swab samples. Saliva, tear, and cerumen samples were taken from the patients within 72 hours of the first RT‐PCR test. SARS‐CoV‐2 N1 and N2 gene regions were studied with single‐step RT‐PCR in all samples. Results Among the studied samples, the highest positivity rate was in saliva (76.3%) followed by tears (55.3%) and cerumen (39.5%). Viral load in saliva was also significantly higher compared to tears and cerumen (P &lt; .001), while there was no significant difference between tears and cerumen. Higher viral load in combined nasopharyngeal–oropharyngeal swab samples was associated with higher viral load in tears, but not in saliva or cerumen. Half of the saliva, tear, and cerumen samples obtained from asymptomatic patients contained SARS‐CoV‐2 genome. Conclusions The virus was detected in the saliva, tears, and cerumen samples of both symptomatic and asymptomatic patients. The potential role of these bodily fluids on viral spread needs to be studied. Level of Evidence 4 Laryngoscope, 131:E1677–E1682, 2021</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.29218</identifier><identifier>PMID: 33094833</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Aged ; Angiotensin-Converting Enzyme 2 - metabolism ; Asymptomatic ; cerumen ; Cerumen - virology ; China - epidemiology ; COVID-19 - diagnosis ; COVID-19 - epidemiology ; COVID-19 - transmission ; COVID-19 - virology ; COVID-19 Testing - methods ; COVID‐19 ; Cross-Sectional Studies ; Female ; Humans ; Laryngoscopy ; Male ; Middle Aged ; Nasopharynx - virology ; Oropharynx - virology ; Real-Time Polymerase Chain Reaction - methods ; saliva ; Saliva - virology ; SARS-CoV-2 - genetics ; SARS-CoV-2 - isolation &amp; purification ; SARS‐CoV‐2 ; Severe acute respiratory syndrome coronavirus 2 ; tear ; Tears - virology ; Viral Load - statistics &amp; numerical data</subject><ispartof>The Laryngoscope, 2021-05, Vol.131 (5), p.E1677-E1682</ispartof><rights>2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA)</rights><rights>2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).</rights><rights>2021 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4218-fd0132dd16313f1f8434d8ad41af5e331e47cde9a348258375bd102d8229956d3</citedby><cites>FETCH-LOGICAL-c4218-fd0132dd16313f1f8434d8ad41af5e331e47cde9a348258375bd102d8229956d3</cites><orcidid>0000-0002-6803-5467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.29218$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.29218$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33094833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hanege, Fatih M.</creatorcontrib><creatorcontrib>Kocoglu, Esra</creatorcontrib><creatorcontrib>Kalcioglu, Mahmut T.</creatorcontrib><creatorcontrib>Celik, Serdal</creatorcontrib><creatorcontrib>Cag, Yasemin</creatorcontrib><creatorcontrib>Esen, Fehim</creatorcontrib><creatorcontrib>Bayindir, Eray</creatorcontrib><creatorcontrib>Pence, Sadrettin</creatorcontrib><creatorcontrib>Alp Mese, Emine</creatorcontrib><creatorcontrib>Agalar, Canan</creatorcontrib><title>SARS‐CoV‐2 Presence in the Saliva, Tears, and Cerumen of COVID‐19 Patients</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis The emergence of a new coronavirus strain (SARS‐CoV‐2) in December 2019 from China led to a global pandemic. The lack of herd immunity against this virus and the possibility of viral spread from asymptomatic individuals is still a major challenge for the prevention of viral transmission. The aim of this study was to evaluate the presence of the virus in different bodily secretions as a potential source of viral spread among patients infected with SARS‐CoV‐2. Study Design Cross Sectional Study. Methods The study included 38 COVID‐19 patients with a positive real‐time polymerase chain reaction (RT‐PCR) test result for SARS‐CoV‐2, obtained from the combined nasopharyngeal–oropharyngeal swab samples. Saliva, tear, and cerumen samples were taken from the patients within 72 hours of the first RT‐PCR test. SARS‐CoV‐2 N1 and N2 gene regions were studied with single‐step RT‐PCR in all samples. Results Among the studied samples, the highest positivity rate was in saliva (76.3%) followed by tears (55.3%) and cerumen (39.5%). Viral load in saliva was also significantly higher compared to tears and cerumen (P &lt; .001), while there was no significant difference between tears and cerumen. Higher viral load in combined nasopharyngeal–oropharyngeal swab samples was associated with higher viral load in tears, but not in saliva or cerumen. Half of the saliva, tear, and cerumen samples obtained from asymptomatic patients contained SARS‐CoV‐2 genome. Conclusions The virus was detected in the saliva, tears, and cerumen samples of both symptomatic and asymptomatic patients. The potential role of these bodily fluids on viral spread needs to be studied. 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The lack of herd immunity against this virus and the possibility of viral spread from asymptomatic individuals is still a major challenge for the prevention of viral transmission. The aim of this study was to evaluate the presence of the virus in different bodily secretions as a potential source of viral spread among patients infected with SARS‐CoV‐2. Study Design Cross Sectional Study. Methods The study included 38 COVID‐19 patients with a positive real‐time polymerase chain reaction (RT‐PCR) test result for SARS‐CoV‐2, obtained from the combined nasopharyngeal–oropharyngeal swab samples. Saliva, tear, and cerumen samples were taken from the patients within 72 hours of the first RT‐PCR test. SARS‐CoV‐2 N1 and N2 gene regions were studied with single‐step RT‐PCR in all samples. Results Among the studied samples, the highest positivity rate was in saliva (76.3%) followed by tears (55.3%) and cerumen (39.5%). Viral load in saliva was also significantly higher compared to tears and cerumen (P &lt; .001), while there was no significant difference between tears and cerumen. Higher viral load in combined nasopharyngeal–oropharyngeal swab samples was associated with higher viral load in tears, but not in saliva or cerumen. Half of the saliva, tear, and cerumen samples obtained from asymptomatic patients contained SARS‐CoV‐2 genome. Conclusions The virus was detected in the saliva, tears, and cerumen samples of both symptomatic and asymptomatic patients. The potential role of these bodily fluids on viral spread needs to be studied. Level of Evidence 4 Laryngoscope, 131:E1677–E1682, 2021</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>33094833</pmid><doi>10.1002/lary.29218</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6803-5467</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Angiotensin-Converting Enzyme 2 - metabolism
Asymptomatic
cerumen
Cerumen - virology
China - epidemiology
COVID-19 - diagnosis
COVID-19 - epidemiology
COVID-19 - transmission
COVID-19 - virology
COVID-19 Testing - methods
COVID‐19
Cross-Sectional Studies
Female
Humans
Laryngoscopy
Male
Middle Aged
Nasopharynx - virology
Oropharynx - virology
Real-Time Polymerase Chain Reaction - methods
saliva
Saliva - virology
SARS-CoV-2 - genetics
SARS-CoV-2 - isolation & purification
SARS‐CoV‐2
Severe acute respiratory syndrome coronavirus 2
tear
Tears - virology
Viral Load - statistics & numerical data
title SARS‐CoV‐2 Presence in the Saliva, Tears, and Cerumen of COVID‐19 Patients
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