Measures of SARS-CoV-2 infectivity in children and adults
Variable | Children aged ≤ 10 yr n = 97 | Children aged 11–17 yr n = 78 | Adults n = 130 | p value |
---|---|---|---|---|
Asymptomatic, no. (%) | 47 (48) | 19 (24) | 9 (7) | < 0.001§ |
Positive culture, no. (%, 95% CI) | 18 (19, 11–28) | 18 (23, 14–34) | 57 (44, 35–53) | < 0.001¶ |
Symptom to test time, median (IQR), d | 1 (1–4) | 2 (1–3.5) | 2 (1–4) | 0.6 |
Cycle threshold*, median (IQR) | 25.1 (17.7–31.3) | 22.2 (18.3–29.0) | 18.7 (17.9–30.4) | < 0.001** |
RNAseP†, mean ± SD | 25.7 ± 2.8 | 26.1 ± 2.6 | 26.1 ± 2.0 | 0.6 |
TCID50/mL‡, median (IQR) | 1171 (316–5620) | 316 (178–2125) | 5620 (1171–17 800) | < 0.001†† |
Log RNA copies/mL, median (IQR) | 5.4 (3.5–7.8) | 6.4 (4.2–7.6) | 7.5 (5.2–8.3) | < 0.001‡‡ |
Note: CI = confidence interval, IQR = interquartile range, RT-PCR = reverse transcription polymerase chain reaction, SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2, SD = standard deviation.
↵* Cycle threshold is a semiquantitative measure of how much genetic material is present in the initial sample. If more RT-PCR cycles are required to detect SARS-CoV-2, then less viral RNA was present in the sample.
↵† Cycle threshold values for human RNAse P gene, an endogenous internal amplification control, were used as a marker of quality of the nasopharyngeal sample.
↵‡ Fifty percent tissue culture infective dose (TCID50) is a measure of infectious virus titre and represents the amount of virus required to kill 50% of cells in inoculated tissue culture.
↵§ p value is < 0.001 for all comparisons: children ≤ 10 years old compared with children aged 11–17 years, children aged 11–17 compared with adults and children ≤ 10 years old compared with adults.
↵¶ p = 0.5 children ≤ 10 years v. children aged 11–17 years; p = 0.003 children aged 11–17 years v. adults; p < 0.001 children ≤ 10 years v. adults.
↵** p = 0.99 children ≤ 10 years v. children aged 11–17 years; p = 0.02 children aged 11–17 years v. adults; p < 0.001 children ≤ 10 years v. adults.
↵†† p = 0.6 children ≤ 10 years v. children aged 11–17 years; p < 0.001 children aged 11–17 years v. adults; p = 0.1 children ≤ 10 years v. adults.
↵‡‡ p = 0.99 children ≤ 10 years v. children aged 11–17 years; p = 0.2 children aged 11–17 years v. adults; p < 0.001 children ≤ 10 years v. adults.