Publications by authors named "Ruth Diaz-Sanchez"

Article Synopsis
  • * This study provides longitudinal data on fecal shedding of SARS-CoV-2 RNA from 48 infected individuals, revealing that a significant number (77%) had positive samples over time, showcasing the variability in individual shedding patterns.
  • * The research also details the detection of fecal indicators like PMMoV RNA and crAssphage DNA, emphasizing their potential role in improving estimates of COVID-19 prevalence in wastewater, thus enhancing public health monitoring efforts.
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From 2 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) household transmission studies (enrolling April 2020 to January 2022) with rapid enrollment and specimen collection for 14 days, 61% (43/70) of primary cases had culturable virus detected ≥6 days post-onset. Risk of secondary infection among household contacts tended to be greater when primary cases had culturable virus detected after onset. Regardless of duration of culturable virus, most secondary infections (70%, 28/40) had serial intervals <6 days, suggesting early transmission.

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Background: SARS-CoV-2 nucleocapsid antigen can be detected in plasma, but little is known about its performance as a diagnostic test for acute SARS-CoV-2 infection or infectious viral shedding among nonhospitalized individuals.

Methods: We used data generated from anterior nasal and blood samples collected in a longitudinal household cohort of SARS-CoV-2 cases and contacts. Participants were classified as true positives if polymerase chain reaction (PCR) positive for SARS-CoV-2 and as true negatives if PCR negative and seronegative.

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Article Synopsis
  • * It involved 86 participants, comparing unvaccinated (24) and vaccinated (62) individuals who were infected with either Delta or BA.1 variants.
  • * Findings showed unvaccinated individuals had weak antibody responses, while vaccinated participants developed moderate to strong antibodies against BA.2, with BA.2 responses generally higher than BA.1.
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Article Synopsis
  • The study investigated how vaccination affects the infectiousness of SARS-CoV-2 by comparing viral shedding in unvaccinated and fully vaccinated adults who tested positive for the virus.
  • Although maximum RNA levels in both groups were similar, vaccinated individuals showed a quicker decline in viral load and had a shorter duration of infectious virus.
  • Specifically, vaccinated participants had a median infectious virus detection duration of 6 days compared to 7.5 days in unvaccinated individuals, showing that vaccination reduces the likelihood of spreading the virus after the first five days of symptoms.
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Article Synopsis
  • - The emergence of the Omicron variant (B.1.1.529) raised questions about using cycle threshold (Ct) values from RT-PCR tests as indicators of infectiousness for SARS-CoV-2, as low Ct values have been correlated with higher infectiousness in other variants.
  • - A study analyzed nasal samples from nonhospitalized individuals in the San Francisco Bay Area, comparing culturable virus presence and Ct values between those infected with pre-Omicron variants and the Omicron BA.1 sublineage.
  • - Results indicated that during Omicron BA.1 infections, Ct values were higher (indicating lower viral RNA levels) than in pre-Omicron infections, suggesting that Ct values may not reliably reflect
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Background: Households have emerged as important venues for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission. Little is known, however, regarding the magnitude and determinants of household transmission in increasingly vaccinated populations.

Methods: From September 2020 to January 2022, symptomatic nonhospitalized individuals with SARS-CoV-2 infection by RNA detection were identified within 5 days of symptom onset; all individuals resided with at least 1 other SARS-CoV-2-uninfected household member.

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