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SARS‑CoV‑2 RNA in exhaled air of hospitalized COVID‑19 patients

C van den Kieboom, L Kurver, K Lanke, D Diavatopoulos, G Overheul, M Netea, J Ten Oever, R Van Crevel, K Mulders-Manders, F Van De Veerdonk, H Wertheim, J Schouten, J Rahamat-Langendoen, R Van Rij, T Bousema, A Van Laarhoven, M De Jonge
European Respiratory Journal 2022 60: 4432; DOI: 10.1183/13993003.congress-2022.4432
C van den Kieboom
1Xheal Diagnostics B.V., Nijmegen, Netherlands
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L Kurver
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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K Lanke
3Department of Medical Microbiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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D Diavatopoulos
4Laboratory of Medical Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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G Overheul
3Department of Medical Microbiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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M Netea
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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J Ten Oever
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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R Van Crevel
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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K Mulders-Manders
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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F Van De Veerdonk
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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H Wertheim
3Department of Medical Microbiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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J Schouten
5Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, Netherlands
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J Rahamat-Langendoen
6Department of Medical Microbiology, Radboud Centre for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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R Van Rij
3Department of Medical Microbiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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T Bousema
3Department of Medical Microbiology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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A Van Laarhoven
2Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands
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M De Jonge
4Laboratory of Medical Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, Netherlands
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Abstract

Knowledge about contagiousness is key to accurate management of hospitalized COVID-19 patients. Epidemiological studies suggest that in addition to transmission through droplets, aerogenic SARS-CoV-2 transmission contributes to the spread of infection. However, the presence of virus in exhaled air has not yet been sufficiently demonstrated. In pandemic situations low-tech disposable and user-friendly bedside devices are required, while commercially available samplers are unsuitable for application in patients with respiratory distress. We included 49 hospitalized COVID-19 patients and used a disposable modular breath sampler to measure SARS-CoV-2 RNA load in exhaled air samples and compared these SARS-CoV-2 RNA load of combined nasopharyngeal throat swabs and saliva. Exhaled air sampling using the modular breath sampler has proven to be feasible in a clinical COVID-19 setting and demonstrated viral detection in 25% of the patients (Figure 1).

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Figure 1. SARS-CoV-2 RNA detection in exhaled air samples and nasopharyngeal throat swab samples. Filled dots (●) represent cases in which SARS-CoV-2 RNA was detected in exhaled air samples. Open dots (○) represent cases in which SARS-CoV-2 RNA was not detected.

  • Covid-19
  • Diagnosis
  • Experimental approaches

Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 4432.

This article was presented at the 2022 ERS International Congress, in session “-”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2022
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SARS‑CoV‑2 RNA in exhaled air of hospitalized COVID‑19 patients
C van den Kieboom, L Kurver, K Lanke, D Diavatopoulos, G Overheul, M Netea, J Ten Oever, R Van Crevel, K Mulders-Manders, F Van De Veerdonk, H Wertheim, J Schouten, J Rahamat-Langendoen, R Van Rij, T Bousema, A Van Laarhoven, M De Jonge
European Respiratory Journal Sep 2022, 60 (suppl 66) 4432; DOI: 10.1183/13993003.congress-2022.4432

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SARS‑CoV‑2 RNA in exhaled air of hospitalized COVID‑19 patients
C van den Kieboom, L Kurver, K Lanke, D Diavatopoulos, G Overheul, M Netea, J Ten Oever, R Van Crevel, K Mulders-Manders, F Van De Veerdonk, H Wertheim, J Schouten, J Rahamat-Langendoen, R Van Rij, T Bousema, A Van Laarhoven, M De Jonge
European Respiratory Journal Sep 2022, 60 (suppl 66) 4432; DOI: 10.1183/13993003.congress-2022.4432
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