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《COVID-19 纪事档案》

A dossier on COVID-19 chronicle.

机构信息

Department of Pharmacology, Faculty of Pharmacy, Integral University, Lucknow (U.P.), India.

Department of Pharmacology, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, India.

出版信息

J Basic Clin Physiol Pharmacol. 2021 Jul 19;33(1):45-54. doi: 10.1515/jbcpp-2020-0511.

Abstract

The dissemination of the 2019 novel coronavirus (2019-nCoV) is presenting the planet with a new health emergency response or threat to health. The virus emerged in bats and was disseminated to humans in December 2019 via still unknown intermediate species in Wuhan, China. It is disseminated by inhalation or breaks out with infected droplets and the incubation period is between 2 and 14 days. The symptoms usually include high body temperature, cough, sore throat, dyspnea, low energy or tiredness, and weakness. The condition is moderate in most people; but in the elderly and those with comorbidities, it advances to pneumonia, acute respiratory distress syndrome (ARDS), and multiple organ failure. Popular research work includes normal/low WBC with upraised C-reactive protein (CRP). Treatment is generally supportive and requires home seclusion of suspected persons and rigorous infection control methods at hospitals. The Covid-19 has lower fatality than SARS and MERS. Among the proposed therapeutic regimen, hydroxychloroquine, chloroquine, remdisevir, azithromycin, toclizumab, and cromostat mesylate have shown promising results, and the limited benefit was seen with lopinavir-ritonavir treatment in hospitalized adult patients with severe COVID-19. Early development of the SARS-CoV-2 vaccine started based on the full-length genome analysis of severe acute respiratory syndrome coronavirus. Several subunit vaccines, peptides, nucleic acids, plant-derived, and recombinant vaccines are under pipeline. Research work, development of new medicines and vaccines, and efforts to reduce disease morbidity and mortality must be encouraged to improve our position in the fight against this disease and to protect human life.

摘要

2019 年新型冠状病毒(2019-nCoV)的传播给全球带来了新的卫生应急响应或健康威胁。该病毒源自蝙蝠,于 2019 年 12 月在中国武汉通过仍未知的中间物种传播给人类。它通过吸入或带有感染飞沫传播,潜伏期为 2 至 14 天。其症状通常包括体温升高、咳嗽、喉咙痛、呼吸困难、体力或疲倦、虚弱。大多数人病情较轻;但在老年人和有合并症的人中,病情会进展为肺炎、急性呼吸窘迫综合征(ARDS)和多器官衰竭。常见的研究工作包括白细胞计数正常/偏低,C 反应蛋白(CRP)升高。一般采用支持性治疗,需要对疑似患者进行居家隔离,并在医院采取严格的感染控制方法。与 SARS 和 MERS 相比,新冠病毒的死亡率较低。在提出的治疗方案中,羟氯喹、氯喹、瑞德西韦、阿奇霉素、托珠单抗和甲磺酸克罗司他丁已显示出良好的效果,洛匹那韦-利托那韦治疗住院的重症 COVID-19 成年患者也有一定的疗效。基于严重急性呼吸综合征冠状病毒的全长基因组分析,已经开始早期开发 SARS-CoV-2 疫苗。几种亚单位疫苗、肽、核酸、植物源性和重组疫苗正在研发中。必须鼓励开展研究工作、开发新药和疫苗,努力降低疾病发病率和死亡率,以改善我们在抗击这种疾病和保护人类生命方面的地位。

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