COVID-19,对人类和动物的威胁,以及缓解这一大流行的可能治疗方案

R. Patel, A. Agrawal, A. Singh, A. Kumar, J. Rana
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摘要

2019年12月下旬,中国湖北省武汉市出现了一种以呼吸道疾病为主要特征的新型高传染性病毒性人畜共患病,并伴有病因不明的肺炎,夺去了许多人的生命。世卫组织将该病毒临时命名为2019-nCoV,国际病毒分类委员会将其正式命名为“严重急性呼吸综合征冠状病毒-2”(SARS-CoV-2)。2020年2月11日,世卫组织正式宣布疾病名称为2019冠状病毒病(COVID-19),并于2020年3月11日宣布全球大流行。最初,这种疾病被高度限制在中国,但后来它吓坏了世界,因为在短短5个月的时间里,全世界报告了大量的新病例。这种传染性病毒的动态传播是由于个人接触受感染的气溶胶、社区接触以及受影响个人在世界范围内的旅行而发生的。蝙蝠被认为是这次大流行的最初来源,但这种人畜共患病的中间宿主尚未确定。许多研究报告了发热、干咳、呼吸困难、全身无力、嗅觉丧失、衰老、肌肉疼痛、鼻漏、头痛、恶心、结膜炎、呕吐和腹泻以及许多非特异性症状作为该病的临床体征。正在探索许多治疗方案,包括各种抗病毒药物、抗生素、中和抗体、重新用途药物和传统药物,但仍在等待批准有效的治疗方案。本综述旨在总结目前由新型冠状病毒引起的持续疾病的可能治疗方案和现状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19, a threat to human and animals and its probable treatment options to mitigate this pandemic
In late December 2019, Wuhan city of Hubei province, China faced a newly emerged highly contagious viral zoonosis mainly characterized by respiratory illness, associated with pneumonia of unknown etiology which claimed many lives. The virus was then provisionally designated as 2019-nCoV by WHO and officially named as Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) by International Committee on Taxonomy of Viruses (ICTV). On 11 Feb 2020, WHO officially announced the name of disease as Coronavirus disease 2019 (COVID-19) and declared the global pandemic on March 11, 2020. Initially, the disease was highly restricted to China but later it scared the world because hugenumber of new cases was reported from the entire world in a short period of 5 months. The dynamic spread of this contagious virus occurred due to exposure of individuals from infected aerosols, community contact and travelling of affected individual worldwide. Bats were thought to be the initial source of this pandemic but the intermediate host of this zoonosis is yet to be established. Many studies reported fever, dry cough, dyspnea, generalized weakness, anosmia, ageusia, muscle ache, rhinorrhea, headache, nausea, conjunctivitis, vomiting and diarrhoea along with many non-specific symptoms as clinical signs of the disease. Many treatment regimen including various antivirals, antibiotics, neutralizing antibodies, repurposed drugs and traditional medicines were being explored but the authorized effective treatment regimen is still awaited. This review is aimed to summarize the current scenario and status of probable treatment options available for ongoing illness caused by the novel coronavirus.
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