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武漢
肺炎、襲来
華南海鮮市場
金銀灘醫院
持續人傳人
國際公衛緊急事件
火神山醫院 第
壱
話
The Lancet Published: January 24, 2020
DOI:https://doi.org/10.1016/S0140-6736(20)30183-5
Coronavirus
•HKU1, NL63, 229E, and OC43
•SARS-CoV (severe acute respiratory
syndrome coronavirus)
•MERS-CoV (Middle East respiratory
syndrome coronavirus )
•2019-nCoV (2019 novel coronavirus)
Patients
59 suspected cases with fever and dry
cough were transferred to a designated
hospital, Jin Yintan Hospital (Wuhan,
China, 41 patients were confirmed to be
infected with 2019-nCoV.
13 (32%) patients
admitted to ICU
and 6 (15%) died.
27 (66%)
Treatment
• Corticosteroids should not be routinely
given systemically, according to WHO
interim guidance.
• No antiviral treatment for coronavirus
infection has been proven to be effective.
• A randomized controlled trial has been
initiated quickly to assess the efficacy
and safety of combined use of
lopinavir/ritonavir (kaletra) in patients
hospitalized with 2019-nCoV infection.
Common symptoms at onset of illness were fever (98%),
cough (76%), and myalgia or fatigue (44)
13 (32%) patients admitted to ICU and 6 (15%) died
The Lancet Published: January 24, 2020
doi.org/10.1016/S0140-6736(20)30211-7
Methods
• In this retrospective, single-centre study, we
included all confirmed cases of 2019-nCoV in
Wuhan Jinyintan Hospital from Jan 1 to Jan 20,
2020.
• Cases were confirmed by real-time RT-PCR.
• Outcomes were followed up until Jan 25, 2020.
Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany
N Engl J Med. 2020 Jan 30. doi: 10.1056/NEJMc2001468
First Case of 2019 Novel Coronavirus in the United States
N Engl J Med. 2020 Jan 31. doi: 10.1056/NEJMoa2001191
remdesivir
First Case of 2019 Novel Coronavirus in the United States
N Engl J Med. 2020 Jan 31. doi: 10.1056/NEJMoa2001191
remdesivir
Importation and Human-
to-Human Transmission
of a Novel Coronavirus in
Vietnam
N Engl J Med. 2020 Jan 28.
doi: 10.1056/NEJMc2001272
A Novel Coronavirus from Patients with Pneumonia in China, 2019
N Engl J Med. 2020 Jan 24. doi: 10.1056/NEJMoa2001017
SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients
N Engl J Med. 2020 Feb 19. doi:10.1056/NEJMc2001737
• Higher viral loads were detected
soon after symptom onset.
• Higher viral loads detected in the
nose than in the throat.
• Viral load that was detected in the
asymptomatic patient was similar to
that in the symptomatic patients,
which suggests the transmission
potential of asymptomatic or
minimally symptomatic patients
武漢
肺炎、襲来
華南海鮮市場
金銀灘醫院
持續人傳人
國際公衛緊急事件
火神山醫院 第
壱
話

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