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关于 COVID-19 大流行的最新信息:流行病学、发病机制、预防和治疗策略。

An update on COVID-19 pandemic: the epidemiology, pathogenesis, prevention and treatment strategies.

机构信息

Department of Health Technology and Informatics, Hong Kong Polytechnic University, Hong Kong Special Administrative Region.

Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong Special Administrative Region.

出版信息

Expert Rev Anti Infect Ther. 2021 Jul;19(7):877-888. doi: 10.1080/14787210.2021.1863146. Epub 2020 Dec 29.

Abstract

INTRODUCTION

To date, the transmission of Coronavirus Disease-2019 (COVID-19) is still uncontrollable with the fact that the numbers of confirmed and death cases are still increasing. Up to 1st October 2020, 33,842,281 confirmed cases and 1,010,634 confirmed deaths have been reported to the World Health Organization from 216 different countries, areas and territories. Despite the urgent demand for effective treatment strategies, there is still no specific antiviral treatment for COVID-19 and the treatment guidelines for COVID-19 vary between countries.

AREA COVERED

In this article, we summarized the current knowledge on COVID-19 and the pandemic worldwide. Moreover, the epidemiology, pathogenesis, prevention and different treatment options will be discussed so that we shall prepare ourselves better to fight with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

EXPERT OPINION

The situation of the COVID-19 pandemic is still unpredictable. There is no effective vaccine or specific anti-viral drug to treat serve COVID-19 patients. Combination therapies have shown promising clinical improvement. Repurposing FDA-approved drugs might be one of possible treatment options. Without specific treatment and vaccines for COVID-19, the most effective way to prevent from being infected is to generate an ecosystem with effective protection, precautions and preventive measures.

摘要

简介

迄今为止,新冠肺炎(COVID-19)的传播仍无法控制,确诊病例和死亡人数仍在不断增加。截至 2020 年 10 月 1 日,来自 216 个不同国家、地区和领土的世界卫生组织报告了 33842281 例确诊病例和 1010634 例死亡病例。尽管迫切需要有效的治疗策略,但目前仍没有针对 COVID-19 的特效抗病毒治疗方法,而且 COVID-19 的治疗指南在各国之间存在差异。

涵盖范围

本文总结了目前关于 COVID-19 及全球大流行的知识。此外,还将讨论其流行病学、发病机制、预防和不同的治疗选择,以便我们更好地为抗击严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)做好准备。

专家意见

COVID-19 大流行的情况仍难以预测。目前还没有有效的疫苗或特效抗病毒药物来治疗严重的 COVID-19 患者。联合疗法已显示出有希望的临床改善。重新利用 FDA 批准的药物可能是一种可能的治疗选择。由于没有针对 COVID-19 的特效治疗方法和疫苗,预防感染的最有效方法是建立一个具有有效保护、预防和预防措施的生态系统。

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