Relationship of substance dependence and time to RT-PCR negative status in patients with COVID-19 infection

Asian J Psychiatr. 2021 Mar:57:102562. doi: 10.1016/j.ajp.2021.102562. Epub 2021 Jan 21.

Abstract

Background: To date, no study has evaluated the association of alcohol dependence with the outcome of the COVID-19 infection.

Aim: The current study aimed to evaluate the association of substance dependence (alcohol and tobacco) with the outcome (i.e., time to have two consecutive negative test reports) of the COVID-19 infection.

Results: The mean age of the study participants (n = 95) was 37.2 yrs (SD-13.2). More than half of the participants were males. About one-fourth (N = 25; 26.3 %) were consuming various substances in a dependent pattern. Alcohol dependence was present in 21 participants (22.1 %), and Tobacco dependence was present in 10.5 % of participants. Even after using gender, age, and physical illness as covariates, patients with any kind of substance dependence had a significantly lower chance of having a negative report on RT-PCR on 14th day, 18th 23rd day.

Conclusion: Persons with substance dependence takes a longer time to test negative on RT-PCR, once diagnosed with COVID-19 infection. Mental health professionals involved in the care of patients with COVID-19 should accordingly prepare these patients for a possible longer hospital stay to reduce the distress associated with prolongation of hospital stay.

Keywords: Association; COVID-19; Outcome; Substance abuse.

MeSH terms

  • Adult
  • Alcoholism / epidemiology*
  • COVID-19 / diagnosis*
  • COVID-19 / epidemiology*
  • COVID-19 Nucleic Acid Testing / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Time Factors
  • Tobacco Use Disorder / epidemiology*
  • Young Adult