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Clinical Characteristics and Results of Semen Tests Among Men With Coronavirus Disease 2019

Educational Objective
To understand the prevalence of SARS-COV-2 in semen among men with COVID-19
1 Credit CME

In December 2019, an outbreak of pneumonia associated with coronavirus disease 2019 (COVID-19) occurred in Wuhan, China, and rapidly spread to other parts of China and overseas.1 It has been confirmed that COVID-19 has the characteristic of human-to-human transmission, mainly through respiratory droplets and contact. Other routes require further verification. The virus responsible for COVID-19, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been detected in stool, gastrointestinal tract, saliva, and urine samples.2 However, little is known about SARS-CoV-2 in semen.

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Article Information

Accepted for Publication: April 13, 2020.

Published: May 7, 2020. doi:10.1001/jamanetworkopen.2020.8292

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Li D et al. JAMA Network Open.

Corresponding Authors: Weiguo Zhao, MD, Department of Respiratory Medicine, The Eighth Medical Center of Chinese People’s Liberation Army General Hospital, 17th Heishanhu Road, Beijing, 100093, China (zhaowg309@163.com); Shixi Zhang, MD, Shangqiu Municipal Hospital, Shangqiu, No. 1 Yingbin Road, Shangqiu City, Henan Province, China, 476100, China (Shixizhang1977@163.com).

Author Contributions: Drs Zhao and Zhang had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Drs Li, Jin, and Bao contributed equally to this work.

Concept and design: Li, Jin, Zhao, Zhang.

Acquisition, analysis, or interpretation of data: Li, Jin, Bao.

Drafting of the manuscript: Li, Jin.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Li, Jin, Bao.

Obtained funding: Li, Jin.

Administrative, technical, or material support: Li, Zhao, Zhang.

Conflict of Interest Disclosures: None reported.

Funding/Support: This study was partially supported by grant KF2018-06 from the Open Project Program of the State Key Laboratory of Kidney Diseases in People’s Liberation Army General Hospital.

Role of the Funder/Sponsor: The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

References
1.
Huang  C , Wang  Y , Li  X ,  et al.  Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.   Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5PubMedGoogle ScholarCrossref
2.
Guan  W , Ni  Z-y , Hu  Y ,  et al; China Medical Treatment Expert Group for Covid-19.  Clinical characteristics of 2019 novel coronavirus infection in China.   N Engl J Med. Published online February 28, 2020. doi:10.1056/NEJMoa2002032PubMedGoogle Scholar
3.
World Medical Association.  World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.   JAMA. 2013;310(20):2191-2194. doi:10.1001/jama.2013.281053.Google ScholarCrossref
4.
World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected: interim guidance, 25 January 2020. Accessed April 14, 2020. https://apps.who.int/iris/handle/10665/330854.
5.
Mead  PS , Duggal  NK , Hook  SA ,  et al.  Zika virus shedding in semen of symptomatic infected men.   N Engl J Med. 2018;378(15):1377-1385. doi:10.1056/NEJMoa1711038PubMedGoogle ScholarCrossref
6.
Feldmann  H .  Virus in semen and the risk of sexual transmission.   N Engl J Med. 2018;378(15):1440-1441. doi:10.1056/NEJMe1803212PubMedGoogle ScholarCrossref
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