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新型冠状病毒 2019-nCoV:流行情况、与 SARS-CoV 和 MERS-CoV 的生物学和临床特征比较。

Novel coronavirus 2019-nCoV: prevalence, biological and clinical characteristics comparison with SARS-CoV and MERS-CoV.

机构信息

Department of Physiology, Strategic Centre for Diabetes Research, Thoracic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2020 Feb;24(4):2012-2019. doi: 10.26355/eurrev_202002_20379.


DOI:10.26355/eurrev_202002_20379
PMID:32141570
Abstract

OBJECTIVE: Human infections with zoonotic coronavirus contain emerging and reemerging pathogenic characteristics which have raised great public health concern. This study aimed at investigating the global prevalence, biological and clinical characteristics of novel coronavirus, Wuhan China (2019-nCoV), Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV), and Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection outbreaks. MATERIALS AND METHODS: The data on the global outbreak of "2019-nCoV, SARS-CoV, and MERS-CoV" were obtained from World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), concerned ministries and research institutes. We also recorded the information from research documents published in global scientific journals indexed in ISI Web of Science and research centers on the prevalence, biological and clinical characteristics of 2019-nCoV, SARS-CoV, and MERS-CoV. RESULTS: Worldwide, SARS-CoV involved 32 countries, with 8422 confirmed cases and 916 (10.87%) casualties from November 2002 to August 2003. MERS-CoV spread over 27 states, causing 2496 cases and 868 (34.77%) fatalities during the period April 2012 to December 2019. However, the novel coronavirus 2019-nCoV spread swiftly the global borders of 27 countries. It infected 34799 people and resulted in 724 (2.08%) casualties during the period December 29, 2019 to February 7, 2020. The fatality rate of coronavirus MERS-CoV was (34.77%) higher than SARS-CoV (10.87%) and 2019-nCoV (2.08%); however, the 2019-nCoV transmitted rapidly in comparison to SARS-CoV and MERS-CoV. CONCLUSIONS: The novel coronavirus 2019-nCoV has diverse epidemiological and biological characteristics, making it more contagious than SARS-CoV and MERS-CoV. It has affected more people in a short time period compared to SARS-CoV and MERS-CoV, although the fatality rate of MERS-CoV was higher than SARS-CoV and 2019-nCoV. The major clinical manifestations in coronavirus infections 2019-nCoV, MERS-CoV, and SARS CoV are fever, chills, cough, shortness of breath, generalized myalgia, malaise, drowsy, diarrhea, confusion, dyspnea, and pneumonia. Global health authorities should take immediate measures to prevent the outbreaks of such emerging and reemerging pathogens across the globe to minimize the disease burden locally and globally.

摘要

目的:人类感染人畜共患冠状病毒具有新兴和再现的致病特征,引起了极大的公共卫生关注。本研究旨在调查新型冠状病毒、中国武汉(2019-nCoV)、严重急性呼吸综合征冠状病毒(SARS-CoV)和中东呼吸综合征冠状病毒(MERS-CoV)感染爆发的全球流行情况、生物学和临床特征。

材料和方法:从世界卫生组织(WHO)、疾病控制和预防中心(CDC)、有关部委和研究机构获得了“2019-nCoV、SARS-CoV 和 MERS-CoV”全球爆发的数据。我们还记录了在全球科学期刊 ISI Web of Science 索引的研究文献和研究中心发表的关于 2019-nCoV、SARS-CoV 和 MERS-CoV 的流行情况、生物学和临床特征的信息。

结果:在全球范围内,SARS-CoV 涉及 32 个国家,2002 年 11 月至 2003 年 8 月期间有 8422 例确诊病例和 916 例(10.87%)死亡病例。MERS-CoV 在 27 个州传播,2012 年 4 月至 2019 年 12 月期间造成 2496 例病例和 868 例(34.77%)死亡病例。然而,新型冠状病毒 2019-nCoV 迅速在全球 27 个国家传播。它感染了 34799 人,2019 年 12 月 29 日至 2020 年 2 月 7 日期间有 724 例(2.08%)死亡病例。冠状病毒 MERS-CoV 的死亡率(34.77%)高于 SARS-CoV(10.87%)和 2019-nCoV(2.08%);然而,2019-nCoV 的传播速度比 SARS-CoV 和 MERS-CoV 更快。

结论:新型冠状病毒 2019-nCoV 具有不同的流行病学和生物学特征,比 SARS-CoV 和 MERS-CoV 更具传染性。与 SARS-CoV 和 MERS-CoV 相比,它在短时间内感染了更多的人,尽管 MERS-CoV 的死亡率高于 SARS-CoV 和 2019-nCoV。冠状病毒 2019-nCoV、MERS-CoV 和 SARS-CoV 的主要临床症状是发热、寒战、咳嗽、呼吸急促、全身肌痛、不适、嗜睡、腹泻、意识模糊、呼吸困难和肺炎。全球卫生当局应立即采取措施,防止这些新兴和再现病原体在全球范围内爆发,以最大限度地减少当地和全球的疾病负担。

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Novel coronavirus 2019-nCoV: prevalence, biological and clinical characteristics comparison with SARS-CoV and MERS-CoV.

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