COVID-19 in clinical practice: A narrative synthesis.

Abstract:

:The coronavirus disease 2019 (COVID-19) was first reported in the city of Wuhan, China. The disease rapidly spread to the rest of China, to Southern-East Asia, then to Europe, America, and on to the rest of the world. COVID-19 is associated with a betacoronavirus named SARS-CoV-2. The virus penetrates the organism through the respiratory tract, conveyed by contaminated droplets. The main cell receptor targeted is the surface-bound ACE-2. As of the 26th July 2020, 15,200,000 COVID-19 cases and 650,000 deaths were reported worldwide. The mortality rate is estimated between 1.3 and 18.3%. The reproductive rate without any public health intervention is estimated around 4-5.1 in France. Most hospitalized patients for COVID-19 present respiratory symptoms, which in some cases is associated with fever. Up to 86% of admissions to ICU are related to acute respiratory failure. To date, no anti-viral therapy has proven its efficacy considering randomized trials. Only immunomodulatory treatments such as corticosteroids have shown to cause significant improvement in patient outcome.

journal_name

Med Mal Infect

authors

Le Maréchal M,Morand P,Epaulard O,Némoz B

doi

10.1016/j.medmal.2020.09.012

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

639-647

issue

8

eissn

0399-077X

issn

1769-6690

pii

S0399-077X(20)30710-1

journal_volume

50

pub_type

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