Institute for Skeletal Aging & Orthopedic Surgery, Hallym University-Chuncheon Sacred Heart Hospital, Chuncheon-si, Gangwon-do, Korea.
Eur Rev Med Pharmacol Sci. 2020 Apr;24(7):4016-4026. doi: 10.26355/eurrev_202004_20871.
SARS-CoV-2 is responsible for the outbreak of severe respiratory illness (COVID-19) in Wuhan City, China and is now spreading rapidly throughout the world. The prompt outbreak of COVID-19 and its quick spread without any controllable measure defines the severity of the situation. In this crisis, a collective pool of knowledge about the advancement of clinical diagnostic and management for COVID-19 is a prerequisite. Here, we summarize all the available updates on the multidisciplinary approaches for the advancement of diagnosis and proposed therapeutic strategies for COVID-19. Moreover, the review discusses different aspects of the COVID-19, including its epidemiology; incubation period; the general clinical features of patients; the clinical features of intensive care unit (ICU) patients; SARS-CoV-2 infection in the presence of co-morbid diseases and the clinical features of pediatric patients infected with the SARS-CoV-2. Advances in various diagnostic approaches, such as the use of real-time polymerase chain reaction (RT-PCR), chest radiography, and computed tomography (CT) imaging; and other modern diagnostic methods, for this infection have been highlighted. However, due to the unavailability of adequate evidence, presently there are no officially approved drugs or vaccines available against SARS-CoV-2. Additionally, we have discussed various therapeutic strategies for COVID-19 under different categories, like the possible treatment plans with drug (antiviral drugs and anti-cytokines) therapy for disease prevention. Lastly, potentials candidates for the vaccines against SARS-CoV-2 infection have been described. Collectively, the review provides an overview of the SARS-CoV-2 infection outbreak along with the recent advancements and strategies for diagnosis and therapy of COVID-19.
严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)引发了中国武汉市的严重呼吸道疾病(COVID-19)疫情,目前正在全球迅速蔓延。COVID-19 的迅速爆发及其在没有任何可控措施的情况下的快速传播,凸显了疫情的严重性。在这场危机中,汇集关于 COVID-19 临床诊断和管理进展的知识是当务之急。在这里,我们总结了 COVID-19 多学科诊断方法的最新进展和提出的治疗策略。此外,该综述还讨论了 COVID-19 的各个方面,包括其流行病学、潜伏期、患者的一般临床特征、重症监护病房(ICU)患者的临床特征、合并症患者的 SARS-CoV-2 感染以及感染 SARS-CoV-2 的儿科患者的临床特征。强调了各种诊断方法的进展,例如实时聚合酶链反应(RT-PCR)、胸部 X 线摄影和计算机断层扫描(CT)成像的应用;以及针对这种感染的其他现代诊断方法。然而,由于缺乏足够的证据,目前尚无针对 SARS-CoV-2 的官方批准的药物或疫苗。此外,我们还根据不同类别讨论了 COVID-19 的各种治疗策略,例如针对疾病预防的药物(抗病毒药物和抗细胞因子)治疗的可能治疗计划。最后,还描述了针对 SARS-CoV-2 感染的疫苗的潜在候选者。总的来说,该综述概述了 SARS-CoV-2 感染的爆发情况,以及 COVID-19 的诊断和治疗的最新进展和策略。