Cited by 6,068COVID-19 Clinical Research StudiesSARS-CoV-2 and COVID-19 ResearchCOVID-19 epidemiological studies

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges

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Lai, Chih-Cheng, Shih, Tzu-Ping, Ko, Wen-Chien, Tang, Hung-Jen, Hsueh, Po-Ren·2020·International Journal of Antimicrobial Agents

DOI 10.1016/j.ijantimicag.2020.105924PMC PMC7127800

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Abstract

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; previously provisionally named 2019 novel coronavirus or 2019-nCoV) disease (COVID-19) in China at the end of 2019 has caused a large global outbreak and is a major public health issue. As of 11 February 2020, data from the World Health Organization (WHO) have shown that more than 43 000 confirmed cases have been identified in 28 countries/regions, with >99% of cases being detected in China. On 30 January 2020, the WHO declared COVID-19 as the sixth public health emergency of international concern. SARS-CoV-2 is closely related to two bat-derived severe acute respiratory syndrome-like coronaviruses, bat-SL-CoVZC45 and bat-SL-CoVZXC21. It is spread by human-to-human transmission via droplets or direct contact, and infection has been estimated to have mean incubation period of 6.4 days and a basic reproduction number of 2.24-3.58. Among patients with pneumonia caused by SARS-CoV-2 (novel coronavirus pneumonia or Wuhan pneumonia), fever was the most common symptom, followed by cough. Bilateral lung involvement with ground-glass opacity was the most common finding from computed tomography images of the chest. The one case of SARS-CoV-2 pneumonia in the USA is responding well to remdesivir, which is now undergoing a clinical trial in China. Currently, controlling infection to prevent the spread of SARS-CoV-2 is the primary intervention being used. However, public health authorities should keep monitoring the situation closely, as the more we can learn about this novel virus and its associated outbreak, the better we can respond.

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Authors: Lai, C.-C., Shih, T.-P., Ko, W.-C., Tang, H.-J., & Hsueh, P.-R.
Affiliations: Kaohsiung Veterans General Hospital (TW)
National Cheng Kung University (TW)
Chi Mei Medical Center (TW)
National Taiwan University (TW)
Corresponding author: Hsueh, Po-Ren
ORCID: Lai, Chih-Cheng
Ko, Wen-Chien
Hsueh, Po-Ren
Venue: International Journal of Antimicrobial Agents
Publisher: Elsevier BV
Published: 2020-03
Volume: 55
Issue: 3
Pages: 105924
ISSN: 0924-8579 (ISSN-L)
DOI: 10.1016/j.ijantimicag.2020.105924
PMC: PMC7127800
OpenAlex: W3006645647
Cited by: 6,068
References: 61
Citations by year: 2026: 69 · 2025: 182 · 2024: 351 · 2023: 609 · 2022: 1050 · 2021: 1770 · 2020: 2028
FWCI: 179.14
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: International Journal of Antimicrobial Agents (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Taiwan University Hospital
Topics: Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
Keywords: SARS-CoV-2, COVID-19 pandemic, coronavirus pneumonia, SARS-CoV-2 transmission, incubation period, basic reproduction number, remdesivir, infection control, public health emergencies, ground-glass opacities
MeSH terms: Betacoronavirus, COVID-19, SARS-CoV-2, China, Disease Outbreaks, Humans, Pneumonia, Viral, World Health Organization, Coronavirus Infections, Severe Acute Respiratory Syndrome

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges

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