Effect of Convalescent Plasma Therapy on Viral Shedding and Survival in Patients With Coronavirus Disease 2019

Author:

Zeng Qing-Lei1ORCID,Yu Zu-Jiang1,Gou Jian-Jun1,Li Guang-Ming2,Ma Shu-Huan2,Zhang Guo-Fan3,Xu Jiang-Hai4,Lin Wan-Bao5,Cui Guang-Lin6,Zhang Min-Min2,Li Cheng2,Wang Ze-Shuai7,Zhang Zhi-Hao1,Liu Zhang-Suo1

Affiliation:

1. Department of Infectious Diseases, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, China

2. Department of Infectious Diseases, The Sixth People’s Hospital of Zhengzhou City, Zhengzhou City, China

3. The Department of Infectious Diseases, The First Affiliated Hospital of Nanyang Medical College, Nanyang City, China

4. Department of Infectious Diseases, The Fifth People’s Hospital of Anyang City, Anyang City, China

5. Department of Infectious Diseases, Xinyang Central Hospital, Xinyang City, China

6. Department of Clinical Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, China

7. Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, China

Abstract

Abstract Currently, coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been reported in almost all countries globally. No effective therapy has been documented for COVID-19, and the role of convalescent plasma therapy is unknown. In the current study, 6 patients with COVID-19 and respiratory failure received convalescent plasma a median of 21.5 days after viral shedding was first detected, all tested negative for SARS-CoV-2 RNA within 3 days after infusion, and 5 eventually died. In conclusion, convalescent plasma treatment can end SARS-CoV-2 shedding but cannot reduce the mortality rate in critically ill patients with end-stage COVID-19, and treatment should be initiated earlier.

Funder

National Natural Science Foundation of China

Thousands Outstanding Talents Plan

Zhengzhou University Medical School

Henan Higher Education Institutions of China

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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