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COVID-19 大流行:基于现有证据的综述。

COVID-19 pandemic: A review based on current evidence.

机构信息

Department of Pharmacology, PGIMER, Chandigarh, India.

出版信息

Indian J Pharmacol. 2020 Mar-Apr;52(2):117-129. doi: 10.4103/ijp.IJP_310_20. Epub 2020 Jun 3.

Abstract

In December 2019, severe acute respiratory syndrome-coronavirus-2, a novel coronavirus, initiated an outbreak of pneumonia from Wuhan in China, which rapidly spread worldwide. The clinical characteristics of the disease range from asymptomatic cases or mild symptoms, which include nonspecific symptoms such as fever, cough, sore throat, headache, and nasal congestion to severe cases such as pneumonia, respiratory failure demanding mechanical ventilation to multi-organ failure, sepsis, and death. As the transmission rate is quite alarming, we require an effective therapeutic strategy to treat symptomatic patients and adopt the preventive measures in order to contain the infection and prevent community transmission. Coronavirus disease 2019 (COVID-19) pandemic is a public health emergency of international concern, hence repurposing of the drugs is an attractive and a feasible option because PK/PD profile, toxicity profile, and drug interactions are already known. This review emphasizes on the different aspects of COVID-19 such as the epidemiology, etiopathogenesis, diagnosis, and preventive measures to be adopted in order to fight this pandemic. It also highlights upon the ethics preparedness and challenges faced by a developing country like India during such an outbreak. The review focuses on the various approaches adopted till date for developing effective therapeutic strategies including combination of drugs, vaccine therapy, and convalescent plasma therapy to combat this viral outbreak.

摘要

2019 年 12 月,一种新型冠状病毒——严重急性呼吸综合征冠状病毒 2 引发了源自中国武汉的肺炎疫情爆发,该疫情迅速在全球范围内蔓延。该疾病的临床特征从无症状或轻症病例,包括非特异性症状如发热、咳嗽、咽痛、头痛和鼻塞,到重症病例如肺炎、需要机械通气的呼吸衰竭、多器官衰竭、败血症和死亡不等。由于传播率相当惊人,我们需要一种有效的治疗策略来治疗有症状的患者,并采取预防措施,以控制感染并防止社区传播。2019 年冠状病毒病(COVID-19)大流行是国际关注的公共卫生突发事件,因此药物的重新利用是一种有吸引力和可行的选择,因为药代动力学/药效学特征、毒性特征和药物相互作用已经为人所知。本文综述了 COVID-19 的不同方面,如流行病学、病因发病机制、诊断和预防措施,以应对这一大流行。它还强调了像印度这样的发展中国家在疫情爆发期间所面临的伦理准备和挑战。本文重点介绍了迄今为止为制定有效的治疗策略而采取的各种方法,包括联合用药、疫苗治疗和恢复期血浆治疗,以应对这一病毒爆发。

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