Department of Neuroscience, Cleveland Clinic, Cleveland, OH, USA.
Department of Pathology, Case Western Reserve University, Cleveland, OH, USA.
Crit Rev Toxicol. 2020 Jul;50(6):513-520. doi: 10.1080/10408444.2020.1790499. Epub 2020 Jul 30.
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has created a significant threat to global health. It originated in Wuhan, China and caused a total of 83,483 confirmed cases and 4634 deaths until June 2020. This novel virus spread primarily through respiratory droplets and close contact. The person-to-person transmission by direct transmittance through cough, sneeze, droplet inhalation, and contact spreading from dry surfaces contaminated with secretions of nose, mouth, and eyes of an infected person has been proven about SARS-CoV-2 transmission. As disease progressed, a series of complications tends to develop, especially in critically ill and immunocompromised patients. Pathological studies showed representative features of acute respiratory distress syndrome (ARDS) and implications on multiple organs as well. However, no specific antiviral drugs or vaccines are immediately available for the treatment of this lethal disease. The efficacy of some promising antivirals needs to be investigated by ongoing clinical trials. In current circumstances, supportive care, precautions, and social distancing are the only preventive options to ameliorate COVID-19. To disinfect the environment, mainly chemical disinfectants are being used robustly. However, due to panic state, fright, and unawareness, people are using it violently, which can have an adverse effect on human health and environment. This review discusses about the potential harmful effect of disinfectants, if used inappropriately. Here, we will also discuss safe preventive options as an alternative to robust use of disinfection methods to fight against COVID-19.
2019 年冠状病毒病(COVID-19)由严重急性呼吸系统综合征冠状病毒 2 型(SARS-CoV-2)引起,对全球健康构成了重大威胁。它起源于中国武汉,截至 2020 年 6 月,共确诊 83483 例,死亡 4634 例。这种新型病毒主要通过呼吸道飞沫和密切接触传播。已证明 SARS-CoV-2 通过感染者的鼻、口和眼睛分泌物污染的干燥表面上的直接传播、咳嗽、打喷嚏、飞沫吸入和接触传播,人与人之间可传播。随着疾病的进展,一系列并发症往往会发展,特别是在重症和免疫功能低下的患者中。病理研究显示了急性呼吸窘迫综合征(ARDS)的代表性特征,并对多个器官也有影响。然而,目前尚无治疗这种致命疾病的特效抗病毒药物或疫苗。一些有前途的抗病毒药物的疗效需要通过正在进行的临床试验来研究。在当前情况下,支持性护理、预防措施和社会隔离是改善 COVID-19 的唯一预防选择。为了对环境进行消毒,主要使用化学消毒剂。但是,由于恐慌、恐惧和无知,人们大量使用它,这可能对人类健康和环境产生不利影响。这篇综述讨论了消毒剂如果使用不当可能产生的潜在有害影响。在这里,我们还将讨论安全的预防措施,作为替代强力使用消毒方法来对抗 COVID-19 的方法。