ASSOCIATION COVID-19 VIRAL LOAD AND DISEASE SEVERITY: A SYSTEMATIC REVIEW

Authors

  • Kgs. Mahendra Effendy University of Lampung, Indonesia

DOI:

https://doi.org/10.53555/nnmhs.v8i11.1441

Keywords:

COVID-19, CT value, Disease Severity, Viral Load

Abstract

The global pandemic SARS-CoV-2 or COVID-19 has caused a significant healthcare crisis. This disease profile is recognized as the leading cause of severe disease in the adult population and the focus of the evidence and treatment guidelines reflect that adults predominately experience COVID-19. A high temperature, a dry cough, dyspnea, headache, tiredness, loss of taste and/or smell, and gastrointestinal difficulties are among the symptoms of COVID-19. The results of the laboratory tests indicate that the levels of liver enzymes are elevated, that there is a shortage of lymphocytes (also known as lymphocytopenia), and that there is an increased level of C-reactive protein. The infection will, in the long run, cause acute respiratory distress syndrome, which could lead to death in the end. The reverse transcription-polymerase chain reaction (RT-PCR) was the single most essential tool for detecting the amounts of viral load. The identification of viral nucleic acid by RT-PCR assays is the gold standard for the diagnosis of COVID-19. This is because these tests can detect minute traces of the virus. We are able to obtain an indirect number for the viral load (C t) following the diagnosis using this procedure, which enables us to do so in a way that is both speedy and painless. The primary theory may be explained by the connection between the amount of viral load and inflammatory factors, both of which are obviously associated with the degree to which the disease has progressed. This connection may be explained by the correlation between the degree to which the disease has progressed and the amount of viral load. Because elderly patients typically have a higher viral load, it is possible that any potential links between COVID19 viral load and the severity of the disease could be explained by the fact that elderly patients often have a higher viral load.

 

References

WHO Indonesia. Coronavirus disease (COVID-19). 2021.

Dadras O, Alinaghi SAS, Karimi A, MohsseniPour M, Barzegary A, Vahedi F, et al. Effects of COVID-19 prevention procedures on other common infections: a systematic review. Eur J Med Res. Juli 2021;26(1):67.

Rabaan AA, Tirupathi R, Sule AA, Aldali J, Mutair A Al, Alhumaid S, et al. Viral Dynamics and Real-Time RT-PCR Ct Values Correlation with Disease Severity in COVID-19. Diagnostics (Basel, Switzerland). Juni 2021;11(6).

Rabaan AA, Al-Ahmed SH, Garout MA, Al-Qaaneh AM, Sule AA, Tirupathi R, et al. Diverse Immunological Factors Influencing Pathogenesis in Patients with COVID-19: A Review on Viral Dissemination, Immunotherapeutic Options to Counter Cytokine Storm and Inflammatory Responses. Pathog (Basel, Switzerland). Mei 2021;10(5).

Giamarellos-Bourboulis EJ, Netea MG, Rovina N, Akinosoglou K, Antoniadou A, Antonakos N, et al. Complex Immune Dysregulation in COVID-19 Patients with Severe Respiratory Failure. Cell Host Microbe. Juni 2020;27(6):992-1000.e3.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England). Februari 2020;395(10223):497–506.

Wiersinga WJ, Rhodes A, Cheng AC, Peacock SJ, Prescott HC. Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. JAMA [Internet]. 25 Agustus 2020;324(8):782–93. Tersedia pada: https://doi.org/10.1001/jama.2020.12839

Lee C, Choi WJ. Overview of COVID-19 inflammatory pathogenesis from the therapeutic perspective. Arch Pharm Res. Januari 2021;44(1):99–116.

Aoki K, Nagasawa T, Ishii Y, Yagi S, Okuma S, Kashiwagi K, et al. Clinical validation of quantitative SARS-CoV-2 antigen assays to estimate SARS-CoV-2 viral loads in nasopharyngeal swabs. J Infect Chemother Off J Japan Soc Chemother. April 2021;27(4):613–6.

Aydin S, Benk IG, Geckil AA. May viral load detected in saliva in the early stages of infection be a prognostic indicator in COVID-19 patients? J Virol Methods. Agustus 2021;294:114198.

de la Calle C, Lalueza A, Mancheño-Losa M, Maestro-de la Calle G, Lora-Tamayo J, Arrieta E, et al. Impact of viral load at admission on the development of respiratory failure in hospitalized patients with SARS-CoV-2 infection. Eur J Clin Microbiol Infect Dis Off Publ Eur Soc Clin Microbiol. Juni 2021;40(6):1209–16.

Cho RHW, To ZWH, Yeung ZWC, Tso EYK, Fung KSC, Chau SKY, et al. COVID-19 Viral Load in the Severity of and Recovery From Olfactory and Gustatory Dysfunction. Laryngoscope. November 2020;130(11):2680–5.

World Health Organization (WHO). Naming the coronavirus disease (COVID-19) and the virus that causes it. Geneva; 2020.

Centers for Disease Control and Prevention. 2019 Novel Coronavirus (2019-nCoV). Washington DC; 2020.

Zheng S, Fan J, Yu F, Feng B, Lou B, Zou Q, et al. Viral load dynamics and disease severity in patients infected with SARS-CoV-2 in Zhejiang province, China, January-March 2020: retrospective cohort study. BMJ. April 2020;369:m1443.

16. Xu T, Chen C, Zhu Z, Cui M, Chen C, Dai H, et al. Clinical features and dynamics of viral load in imported and non-imported patients with COVID-19. Int J Infect Dis IJID Off Publ Int Soc Infect Dis. Mei 2020;94:68–71.

To KK-W, Tsang OT-Y, Leung W-S, Tam AR, Wu T-C, Lung DC, et al. Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV-2: an observational cohort study. Lancet Infect Dis. Mei 2020;20(5):565–74.

Liu Y, Yan L-M, Wan L, Xiang T-X, Le A, Liu J-M, et al. Viral dynamics in mild and severe cases of COVID-19. Vol. 20, The Lancet. Infectious diseases. United States; 2020. hal. 656–7.

Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, et al. SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients. Vol. 382, The New England journal of medicine. United States; 2020. hal. 1177–9.

Dadras O, Afsahi AM, Pashaei Z, Mojdeganlou H, Karimi A, Habibi P, et al. The relationship between COVID-19 viral load and disease severity: A systematic review. Immunity, Inflamm Dis. Maret 2022;10(3):e580.

SeyedAlinaghi S, Abbasian L, Solduzian M, Ayoobi Yazdi N, Jafari F, Adibimehr A, et al. Predictors of the prolonged recovery period in COVID-19 patients: a cross-sectional study. Eur J Med Res. Mei 2021;26(1):41.

Kwon J-S, Kim JY, Kim M-C, Park SY, Kim B-N, Bae S, et al. Factors of Severity in Patients with COVID-19: Cytokine/Chemokine Concentrations, Viral Load, and Antibody Responses. Am J Trop Med Hyg. Desember 2020;103(6):2412–8.

Pons MJ, Ymaña B, Mayanga-Herrera A, Sáenz Y, Alvarez-Erviti L, Tapia-Rojas S, et al. Cytokine Profiles Associated With Worse Prognosis in a Hospitalized Peruvian COVID-19 Cohort [Internet]. Vol. 12, Frontiers in Immunology . 2021. Tersedia pada: https://www.frontiersin.org/articles/10.3389/fimmu.2021.700921

Shenoy S. SARS-CoV-2 (COVID-19), viral load and clinical outcomes; lessons learned one year into the pandemic: A systematic review. World J Crit Care Med. 2021;10(4):132.

Guo X, Jie Y, Ye Y, Chen P, Li X, Gao Z, et al. Upper Respiratory Tract Viral Ribonucleic Acid Load at Hospital Admission Is Associated With Coronavirus Disease 2019 Disease Severity. Open forum Infect Dis. Juli 2020;7(7):ofaa282.

Hasanoglu I, Korukluoglu G, Asilturk D, Cosgun Y, Kalem AK, Altas AB, et al. Higher viral loads in asymptomatic COVID-19 patients might be the invisible part of the iceberg. Infection. Februari 2021;49(1):117–26.

Le Borgne P, Solis M, Severac F, Merdji H, Ruch Y, Alamé Intern K, et al. SARS-CoV-2 viral load in nasopharyngeal swabs in the emergency department does not predict COVID-19 severity and mortality. Acad Emerg Med Off J Soc Acad Emerg Med. Maret 2021;28(3):306–13.

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Published

2022-11-28

How to Cite

Effendy, K. M. (2022). ASSOCIATION COVID-19 VIRAL LOAD AND DISEASE SEVERITY: A SYSTEMATIC REVIEW. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 8(11), 1-6. https://doi.org/10.53555/nnmhs.v8i11.1441