Prolonged SARS-CoV-2 RNA detection by RT-PCR: variability in cycle threshold values over time.

Prolonged SARS-CoV-2 RNA detection by RT-PCR: variability in cycle threshold values over time.

Publication date: Sep 08, 2025

Millions of reverse transcription-polymerase chain reaction (RT-PCR) tests have been performed worldwide during the SARS-CoV-2 pandemic, using various protocols. This study evaluates the duration of SARS-CoV-2 RNA detectability by RT-PCR at body temperature and analyzes changes in cycle threshold (Ct) values over time. Positive nasopharyngeal swabs for SARS-CoV-2 RT-PCR (n = 120) with different Ct values were collected from Hospital Universitario 12 de Octubre (Madrid, Spain, 2020). Samples were processed using an open-access protocol for the Hologic Panther Fusion system, targeting the envelope gene. They were stratified into six Ct value groups (40. 0) and incubated at 37^0C for 15, 30, 45, and 60 days, with RT-PCR repeated at each interval. Samples with Ct 40. 0 were negative by day 15. A significant proportion of samples with Ct ≤35. 0 remained positive at day 60. Positivity during incubation decreased with higher Ct values (P

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Concepts Keywords
Covid COVID-19
Pandemic cycle threshold (Ct)
Panther RNA persistence
Pcr RT-PCR
SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection

Original Article

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