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用于预防冠状病毒感染的抗病毒治疗。

Viricidal treatments for prevention of coronavirus infection.

机构信息

Department of Biochemistry, AIIMS Jodhpur , Jodphur, India.

Department of Obstetrics & Gynecology, AIIMS Jodhpur.

出版信息

Pathog Glob Health. 2020 Oct;114(7):349-359. doi: 10.1080/20477724.2020.1807177. Epub 2020 Sep 2.

Abstract

Coronavirus disease 2019 (COVID-19), which causes severe acute respiratory syndrome and lung failure, is caused by the novel coronavirus, also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Due to high transmission rates from individual to individual, it has progressed to a pandemic. However, indirect transmission from inanimate objects or surfaces that have come in contact with a patient poses an even more significant threat as it is difficult to trace the source of infection in these cases. Therefore, these surfaces and objects require disinfection with chemicals having potent viricidal activity. These include alcohols, aldehydes, quaternary ammonium compounds, chlorhexidine, and chlorine-based disinfectants, among others. They vary in their viricidal activity depending on their structure, concentrations, and mechanism of action. Several studies have looked into these agents and the transmission of the virus related to it. Moreover, certain viricides, if used as constituents of commercially available oral disinfectants, can further aid in preventing ventilator-associated pneumonia and maintain oral hygiene. However, these chemicals are not entirely free of potential hazards. In this review, we have compiled and critically appraised some commonly used viricidal agents in healthcare settings and the role they can play in the prevention of SARS-CoV-2 transmission.

摘要

新型冠状病毒(SARS-CoV-2)引发的 2019 冠状病毒病(COVID-19),可导致严重急性呼吸综合征和呼吸衰竭。由于人与人之间的传播率很高,它已经发展成一种大流行疾病。然而,从接触过患者的无生命物体或表面间接传播的威胁更大,因为在这些情况下很难追踪感染源。因此,这些表面和物体需要用具有强大病毒杀灭活性的化学物质进行消毒。其中包括醇类、醛类、季铵化合物、洗必泰以及含氯消毒剂等。它们的病毒杀灭活性因结构、浓度和作用机制而异。一些研究已经研究了这些试剂和与之相关的病毒传播。此外,某些病毒杀灭剂,如果用作市售口腔消毒剂的成分,还可以进一步帮助预防呼吸机相关性肺炎并保持口腔卫生。然而,这些化学物质并非完全没有潜在危害。在这篇综述中,我们收集并批判性地评估了一些在医疗环境中常用的病毒杀灭剂,以及它们在预防 SARS-CoV-2 传播方面的作用。

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