了解新冠病毒病各阶段在治疗和试验中的重要性。
The Importance of Understanding the Stages of COVID-19 in Treatment and Trials.
作者信息
Griffin Daniel O, Brennan-Rieder Denise, Ngo Binh, Kory Pierre, Confalonieri Marco, Shapiro Leland, Iglesias Jose, Dube Michael, Nanda Neha, In Gino K, Arkfeld Daniel, Chaudhary Preet, Campese Vito M, Hanna Diana L, Sawcer David, Ehresmann Glenn, Peng David, Smorgorzewski Miroslaw, Amstrong April, Vinjevoll Eivind H, Dasgupta Rajkumar, Sattler Fred R, Mussini Cristina, Mitjà Oriol, Soriano Vicente, Peschanski Nicolas, Hayem Gilles, Piccirillo Maria Carmela, Lobo-Ferreira António, Rivero Iraldo B, Hung Ivan F H, Rendell Marc, Ditmore Stephen, Varon Joseph, Marik Paul
机构信息
Department of Medicine, Division of Infectious Diseases, Columbia University, College of Physicians and Surgeons, New York, USA; Research and Development at United Health Group Minnetonka, Minnesota, USA; ProHealth NY Lake Success, New York, USA.
CoronaTracker Community Research Group.
出版信息
AIDS Rev. 2021 Feb 8;23(1):40-47. doi: 10.24875/AIDSRev.200001261.
COVID-19, caused by SARS-CoV-2, continues to be a major health problem since its first description in Wuhan, China, in December 2019. Multiple drugs have been tried to date in the treatment of COVID-19. Critical to treatment of COVID-19 and advancing therapeutics is an appreciation of the multiple stages of this disease and the importance of timing for investigation and use of various agents. We considered articles related to COVID-19 indexed on PubMed published January 1, 2020-November 15, 2020, and considered papers on the medRxiv preprint server. We identified relevant stages of COVID-19 including three periods: pre-exposure, incubation, and detectable viral replication; and five phases: the viral symptom phase, the early inflammatory phase, the secondary infection phase, the multisystem inflammatory phase, and the tail phase. This common terminology should serve as a framework to guide when COVID-19 therapeutics being studied or currently in use is likely to provide benefit rather than harm.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)自2019年12月在中国武汉首次被发现以来,仍然是一个主要的健康问题。迄今为止,已经尝试了多种药物来治疗COVID-19。对于COVID-19的治疗和推进治疗方法而言,关键在于了解该疾病的多个阶段以及各种药物进行研究和使用的时机的重要性。我们查阅了2020年1月1日至2020年11月15日在PubMed上索引的与COVID-19相关的文章,并参考了medRxiv预印本服务器上的论文。我们确定了COVID-19的相关阶段,包括三个时期:暴露前、潜伏期和可检测到病毒复制期;以及五个阶段:病毒症状期、早期炎症期、继发感染期、多系统炎症期和后期阶段。这种通用术语应作为一个框架,以指导正在研究或目前正在使用的COVID-19治疗方法何时可能带来益处而非危害。