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Published on: November 5, 2021
COVID-19: An overview and a clinical update
Arunkumar Krishnan1, James P Hamilton2, Saleh A Alqahtani2
1Division of Gastroenterology and Hepatology, Johns Hopkins School of Medicine, Baltimore, MD 21287, United States. dr.arunkumar.krishnan@gmail.com.
Insights
The COVID-19 pandemic, caused by SARS-CoV-2, presents a global health challenge. This review summarizes current knowledge on its epidemiology, characteristics, and management, highlighting supportive care and potential therapies.
Area of Science:
- * Infectious Diseases
- * Virology
- * Public Health
Background:
- * The rapid global spread of coronavirus disease-2019 (COVID-19), caused by SARS-CoV-2, originated in Wuhan, China.
- * Transmission occurs through close contact and respiratory droplets, posing significant public health risks.
- * Early research indicates potential treatments like dexamethasone and remdesivir, though supportive care remains primary.
Purpose of the Study:
- * To comprehensively review the epidemiology, pathogenesis, clinical characteristics, and management of COVID-19.
- * To consolidate current evidence on SARS-CoV-2 for clinical understanding and disease management.
- * To emphasize the need for ongoing learning due to the rapidly evolving nature of COVID-19 research.
Main Methods:
- * Literature review synthesizing available evidence on COVID-19.
- * Analysis of epidemiological data, transmission routes, and clinical presentations.
- * Summary of current and investigational therapeutic and vaccine strategies.
Main Results:
- * COVID-19 is a highly transmissible respiratory illness with diverse clinical manifestations.
- * Supportive care is the cornerstone of management; specific treatments like dexamethasone and remdesivir show promise.
- * Over 150 vaccines are in development, indicating intensive global research efforts.
Conclusions:
- * Understanding SARS-CoV-2's nature and clinical profile is crucial for effective disease management.
- * Clinicians require regular updates on evolving COVID-19 knowledge.
- * Continued research into treatments and vaccines is essential to combat the pandemic.
Abstract:
The outbreak of coronavirus disease-2019 (COVID-19, previously known as 2019 nCoV) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Wuhan City, China, has spread rapidly around the world. Most patients from the first cluster had an epidemiological connection to the Wuhan's Huanan Seafood Wholesale Market. Available evidence has shown that SARS-CoV-2 can be easily transmitted from person to person through close contact and respiratory droplets, posing a substantial challenge to public health. At present, the research on SARS-CoV-2 is still in the primary stages. However, dexa-methasone and remdesivir are appeared to be promising medical therapies. Still, there is no definite specific treatment, and the mainstay of treatment is still focused on supportive therapies. Currently, over 150 vaccines are under investigation. It is necessary to understand the nature of the virus and its clinical characteristics in order to find effectively manage the disease. The knowledge about this virus is rapidly evolving, and clinicians must update themselves regularly. The present review comprehensively summarizes the epidemiology, pathogenesis, clinical characteristics, and management of COVID-19 based on the current evidence.
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