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新兴RNA病毒的比较概述:流行病学、发病机制、诊断及当前治疗方法

Comparative overview of emerging RNA viruses: Epidemiology, pathogenesis, diagnosis and current treatment.

作者信息

Chakrabartty Ishani, Khan Maryam, Mahanta Saurov, Chopra Hitesh, Dhawan Manish, Choudhary Om Prakash, Bibi Shabana, Mohanta Yugal Kishore, Emran Talha Bin

机构信息

Department of Applied Biology, School of Biological Sciences, University of Science and Technology Meghalaya (USTM), 9th Mile, Techno City, Baridua, Ri-Bhoi 793101, Meghalaya, India.

Department of Biochemistry, Faculty of Life Sciences, Aligarh Muslim University, Aligarh, 202002, U.P, India.

出版信息

Ann Med Surg (Lond). 2022 Jul;79:103985. doi: 10.1016/j.amsu.2022.103985. Epub 2022 Jun 11.

Abstract

From many decades, emerging infections have threatened humanity. The pandemics caused by different CoVs have already claimed and will continue to claim millions of lives. The SARS, Ebola, MERS epidemics and the most recent emergence of COVID-19 pandemic have threatened populations across borders. Since a highly pathogenic CoV has been evolved into the human population in the twenty-first century known as SARS, scientific advancements and innovative methods to tackle these viruses have increased in order to improve response preparedness towards the unpredictable threat posed by these rapidly emerging pathogens. Recently published review articles on SARS-CoV-2 have mainly focused on its pathogenesis, epidemiology and available treatments. However, in this review, we have done a systematic comparison of all three CoVs i.e., SARS, MERS and SARS-CoV-2 along with Ebola and Zika in terms of their epidemiology, virology, clinical features and current treatment strategies. This review focuses on important emerging RNA viruses starting from Zika, Ebola and the CoVs which include SARS, MERS and SARS-CoV-2. Each of these viruses has been elaborated on the basis of their epidemiology, virulence, transmission and treatment. However, special attention has been given to SARS-CoV-2 and the disease caused by it i.e., COVID-19 due to current havoc caused worldwide. At the end, insights into the current understanding of the lessons learned from previous epidemics to combat emerging CoVs have been described. The travel-related viral spread, the unprecedented nosocomial outbreaks and the high case-fatality rates associated with these highly transmissible and pathogenic viruses highlight the need for new prophylactic and therapeutic actions which include but are not limited to clinical indicators, contact tracing, and laboratory investigations as important factors that need to be taken into account in order to arrive at the final conclusion.

摘要

几十年来,新出现的感染一直威胁着人类。不同冠状病毒引发的大流行已经夺走并将继续夺走数百万人的生命。非典、埃博拉、中东呼吸综合征疫情以及最近出现的新冠疫情已经威胁到了各国人民。自21世纪一种高致病性冠状病毒进化到人类群体中(即非典)以来,为应对这些病毒的科学进步和创新方法不断增加,以提高对这些迅速出现的病原体所构成的不可预测威胁的应对准备。最近发表的关于新冠病毒的综述文章主要集中在其发病机制、流行病学和现有治疗方法上。然而,在本综述中,我们对非典、中东呼吸综合征和新冠病毒这三种冠状病毒以及埃博拉病毒和寨卡病毒在流行病学、病毒学、临床特征和当前治疗策略方面进行了系统比较。本综述聚焦于重要的新出现的RNA病毒,从寨卡病毒、埃博拉病毒以及包括非典、中东呼吸综合征和新冠病毒在内的冠状病毒开始。这些病毒中的每一种都根据其流行病学、毒力、传播和治疗进行了阐述。然而,由于新冠病毒及其引发的疾病(即新冠肺炎)目前在全球造成的严重破坏,我们对其给予了特别关注。最后,描述了对从以往疫情中吸取的经验教训以对抗新出现的冠状病毒的当前理解。与旅行相关 的病毒传播、前所未有的医院内疫情爆发以及与这些高传染性和致病性病毒相关的高病死率凸显了采取新的预防和治疗行动的必要性,这些行动包括但不限于临床指标、接触者追踪和实验室调查等重要因素,以便得出最终结论。

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