Dynamically observing the level of LYM% can Estimate the Time for
SARS-CoV-2 Nucleic Acid Test results Turning Negative in COVID-19
Patients
Abstract
Until now, there are no parameter available for guiding us the proper
test scheme for COVID-19 patients during hospitalization so that the
physicians will learn their SARS-CoV-2 nucleic acid test results turning
negative timely. This study aims to explore feasible parameters to
fulfill above requirements. We collected clinical data from 69 patients
(31 SARS-CoV-2 positive pneumonia, 38 SARS-CoV-2 negative pneumonia) in
Xiangyang Central Hospital (Xiangyang, China) from Feb 12 to Feb 18,
2020 in this study. The general and laboratory data between two groups
were compared and discrepant parameters were used to assess the
correlation with viral nucleic acid test positive diagnosis. The
sensitivity of these parameters to clinical treatment and their
correlation with the nucleic acid Ct value were also analyzed. WBC,
LYM% and PLT decreased, while CRP and Hb increased significantly in
SARS-CoV-2 positive patients compared to those in common pneumonia
patients. LYM%, Hb and WBC had a good predictive ability to distinguish
the nucleic acid positive from negative pneumonia. The dynamics of WBC,
LYM%, Hb and CRP in nucleic acid positive patients were more sensitive
to clinical treatment and gradually returned to normal level. Only LYM%
had a significant correlation with Ct value. LYM% dynamics was
sensitive to clinical treatment, and significantly correlated with Ct
value, and might be feasible parameter to estimate the time for
SARS-CoV-2 nucleic acid test results turning negative.