Table 3

Reported infectious period (IP) for postsymptomatic cases (T5 parameter) from virological studies where serial diagnostic tests were undertaken to infer IP (onset to ≥2 tests); tracking studies where IP is inferred from patient histories from onset to recovery or death; modelling studies where IP is reported as a prior (assumed parameter value) or an posterior estimate

StudyLocationParameter (days)Central tendency reportedVariation (days; inclusion)Comment
Virological studies
Cai et al 76 China12Median6–22 rangeSerial testing study of n=10 mild cases RT-PCR confirmed in children. IQR: 8–15 days.
Cai et al 77 China14Median9–19 (IQR)Serial testing study with n=298 confirmed (RT-PCR) cases treated within hospital setting.
Chen et al 78 China12MaxSingle case study for a patient admitted to hospital where RT-PCR serial testing was undertaken. Patient had an additional positive test at day 17 but subsequently tested negative.
Cheng et al 79 China21MaxCase study of single patient serially tested by RT-PCR.
Hu et al 7 China12Median12–14 (IQR)Serial testing study of patients who were first tested (qRT-PCR) when asymptomatic; this subset subsequently developed symptoms (n=5).
Kimball et al 62 Korea15.5Median14–17 (range)Serial testing of two confirmed cases via RT-PCR. Viral load highest during early phase of infection (days 3–5).
Kujawski et al 43 USA26MaxSerial testing of two confirmed cases via RT-PCR. Mild to moderate symptoms.
Lee et al 80 Taiwan20MaxSerial testing (RT-PCR) of a single patient hospitalised presenting with pneumonia.
Lim et al 44 South Korea16MaxSerial testing (RT-PCR) of a single patient hospitalised presenting with pneumonia. Two clear tests day 11, virus detectible again up to day 16.
Ling et al 81 China9.5Median2–22 (range)Serial testing of two confirmed cases via RT-PCR. n=66. IQR: 6–11 days, oropharyngeal sampling. Mix of adult and children.
Liu et al 82 China11Median7–18 rangeSerial testing of two confirmed cases via RT-PCR. n=10. 10–13 (IQR); adults, mild, moderate and severe cases.
Marchand-Senécal et al 45 Canada23MaxSerial testing (RT-PCR) of a single patient hospitalised presenting with pneumonia.
Pan et al 3 China10Median8–12 rangeSerial testing (RT-PCR) of two patients hospitalised. Viral loads peaked days 5–6 postonset.
Qu et al 83 China22MaxSerial testing (RT-PCR) of a single patient hospitalised.
Tan et al 46 Vietnam16MaxSerial testing (RT-PCR) of a single patient hospitalised; throat sample.
Thevarajan et al 47 Australia7MaxSerial testing (RT-PCR) of a single patient hospitalised; throat sample. Highest viral load on first test at day 4 in nasopharyngeal; day 6 for sputum.
Xing et al 69 China14MedianSerial testing (RT-PCR) of three patients (children) hospitalised. Mild–moderate infection. Positive viral samples from faeces up to 4 weeks postsymptom onset.
Young et al 52 Singapore12.5MedianSerial testing (RT-PCR) of 18 patients hospitalised. Adults. Viral load peaked over testing series at day 4 since onset.
Yuan et al 84 China6Median4–10 (IQR)Serial testing (RT-PCR) of 25 patients hospitalised. Children and adults. ‘Non-severe’ cases.
Zhou et al 74 China20Median16–23 IQRSerial testing (RT-PCR) of 191 patients hospitalised in two hospitals. Adults. 54 died. Survivors (n=137); Median (IQR) 20.0 days (17.0–24.0); non-survivors (n=54); median (IQR) 18.5 days (15.0–22.0); shedding continued until death. Inferred shedding period; 8–37 days.
Chen et al 85 China11Median10–12 (95% CI)Serial testing (RT-PCR) of 242 patients hospitalised. Adults. 90% mild/asymptomatic; 10% severe/critical.
Fang et al 60 China15.7Mean6.7 (SD)Serial testing (RT-PCR) of 24 non-ICU patients hospitalised. Adults. Nasal samples.
Fang et al 60 China22.3Mean3.6 (SD)Serial testing (RT-PCR) of 8 ICU patients hospitalised. Adults. Nasal samples.
Hill et al 57 Scotland9MaxSerial testing (RT-PCR) of a single patient (adult) hospitalised; nasal sample (throat sample: 6 days). Mild.
Le et al 86 Vietnam12MaxSerial testing (RT-PCR) of a single patient (infant) hospitalised. Mild.
Liu et al 58 China10MaxSerial testing (RT-PCR) of patients hospitalised. Adults. Mixed mild/severe cases. n=76. 90% ‘early viral clearance’ within 10 days.
Qiu et al 87 China10Mean7–22 rangeSerial testing (RT-PCR) of patients hospitalised. Children. n=36. Mild and moderate cases.
To et al 59 Hong Kong25MaxSerial testing (RT-PCR) of patients hospitalised. n=7. Seven patients reported viral detection >20 days; viral load peaked during first week postonset of symptoms.
Wu et al 88 China16.1Mean6.7 (SD)Serial testing (RT-PCR) of patients hospitalised. Adults. n=74. Severe and non-severe cases.
Tracking studies
Tindale et al 31 Singapore18Median9–33 rangeTime from onset to discharge; range 9–33; n=53.
Kraemer et al 35 36 (later published as: Xu et al)Various19Median3–37 rangeTime from onset to discharge; range: 3–37; n=70.
Linton et al 34 Wuhan, China13Median6–41 rangeTime from onset to death; range 6–41.
Kraemer et al 35 36 Japan and China19.25Mean12–24 rangeTime from onset to death; n=4.
Wölfel et al 49 50 Germany3–8 daysAbsolute3–8 rangeTracked infection in mild cases in Germany, undertaking viral isolation studies to assess active replication across a number of samples sites (upper respiratory tract, blood, urine and faeces) over the duration of infection. 5% isolation success was achieved up to 9.78 (95% CI 8.45 to 21.78) days post onset; n=9.
  • ICU, intensive care unit; RT-PCR, reverse transcriptase PCR.