Real-Time Whole Genome Sequencing to Guide Patient-Tailored Therapy of Severe Acute Respiratory Syndrome Coronavirus 2 Infection.

Snell, Luke B; Alcolea-Medina, Adela; Charalampous, Themoula; Alder, Christopher; Williams, Tom G S; Flaviani, Flavia; Batra, Rahul; Bakrania, Prijay et al. · Clin Infect Dis · 2023

review · Level V

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Abstract

The management of coronavirus disease 2019 has become more complex due to the expansion of available therapies. The presence of severe acute respiratory syndrome coronavirus 2 variants and mutations further complicates treatment due to their differing susceptibilities to therapies. Here we outline the use of real-time whole genome sequencing to detect persistent infection, evaluate for mutations confering resistance to treatments, and guide treatment decisions.

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