应对COVID-19大流行——综述

CC Nganwuchu, K. Habas, N. Mohammed, M. O. Wusuansa, D. Makanjuola, K. Assi, RC Gopalan, M. Nasim
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摘要

自2019年12月以来,在中国武汉发现了一种名为新型冠状病毒(2019- ncov,或COVID-19)的新型冠状病毒。2020年3月11日,世界卫生组织(世卫组织)宣布新型冠状病毒(COVID-19)爆发为全球大流行。截至2021年5月21日,确诊病例超过101,797,158例,导致3,451,354人死亡,世界面临着前所未有的经济、社会和健康影响。COVID-19的临床表现广泛,从无症状状态或轻度呼吸道症状到严重的病毒性肺炎和急性呼吸窘迫综合征。目前,临床、研究和公共卫生实验室有几种诊断方法可用于检测冠状病毒。有的检测方法是通过实时逆转录聚合酶链反应(RT-PCR)检测病毒RNA直接检测感染,有的检测方法是通过检测宿主抗体间接检测感染。其他技术是使用医学成像诊断工具,如x射线和计算机断层扫描(CT)。在COVID-19疗法的开发中采用了各种方法。其中一些方法使用药物再利用(如瑞德西韦和地塞米松)和联合治疗(如洛皮那韦/利托那韦),而另一些方法旨在开发抗病毒疫苗(如mRNA和抗体)。此外,卫生专家整合数据共享,提供指导方针和建议,以尽量减少大流行的影响。这些指导方针包括戴口罩、避免与感染者直接接触、呼吸和个人卫生。总的来说,需要对传播机制、临床谱、特定诊断方法、宿主-病毒相互作用等方面的广泛知识来应对这一大流行。Bio-Sci。29(2): 175-186, 2021(12月)
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Tackling the COVID-19 Pandemic- A Review
Since December 2019, a new type of coronavirus called novel coronavirus (2019-nCoV, or COVID-19) was identified in Wuhan, China and on March 11, 2020, the World Health Organization (WHO) has declared the novel coronavirus (COVID-19) outbreak a global pandemic. With more than 101,797,158 confirmed cases, resulting in 3,451,354 deaths as of May 21, 2021, the world faces an unprecedented economic, social, and health impact. The clinical spectrum of COVID-19 has a wide range of manifestations, ranging from an asymptomatic state or mild respiratory symptoms to severe viral pneumonia and acute respiratory distress syndrome. Several diagnostic methods are currently available for detecting the coronavirus in clinical, research, and public health laboratories. Some tests detect the infection directly by detecting the viral RNA using real time reverse transcriptase polymerase chain reaction (RT-PCR) and other tests detect the infection indirectly by detecting the host antibodies. Additional techniques are using medical imaging diagnostic tools such as X-ray and computed tomography (CT). Various approaches have been employed in the development of COVID-19 therapies. Some of these approaches use drug repurposing (e.g. Remdesivir and Dexamethasone) and combinational therapy (e.g. Lopinavir/Ritonavir), whilst others aim to develop anti-viral vaccines (e.g. mRNA and antibody). Additionally, health experts integrate data sharing, provide with guidelines and advice to minimize the effects of the pandemic. These guidelines include wearing masks, avoiding direct contact with infectious people, respiratory and personal hygiene. Taken together, an extensive knowledge on transmission mechanisms, clinical spectrums, specific diagnostics methods, host-virus interactions are required to tackle this pandemic. J. Bio-Sci. 29(2): 175-186, 2021 (December)
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