Shedding of pandemic (H1N1) 2009 virus among health care personnel, Seattle, Washington, USA kay2011shedding

Outbreak investigation of pandemic (H1N1) 2009 among hospital-associated retreat attendees in Seattle (September 2009). Sixteen health care personnel with laboratory-confirmed infection provided serial self-collected nasal wash specimens (every Mon/Wed/Fri) and symptom logs; specimens were tested by real-time RT-PCR (quantified as RNA copies/mL) and rapid culture. Study evaluated duration of viral RNA detection and culture positivity relative to symptom onset and fever, and found RT-PCR detection lasted longer (3–13 days) than culture (3–10 days). All infected HCP received oseltamivir early in illness.

Analytes

nasal_lavage_influenza_gc_per_mL

Real-time RT-PCR quantification of influenza (pandemic H1N1 2009) viral RNA concentration measured in self-collected nasal wash (nasal lavage) specimens. Samples were also tested by rapid culture (culture not quantified). Real-time RT-PCR performed at the University of Washington Virology Laboratory; lower detection limit reported as 3 log10 copies/mL.

exponential for nasal_lavage_influenza_gc_per_mL

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: influenza
Specimen: nasal lavage fluid
Units: gc/mL
Participants: 14
Negative samples: 0
Positive samples (not quantifiable): 0
Quantifiable samples: 43
Limit of quantification: unknown
Limit of detection: 1000