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Cited by 1,369

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

COVID‐19 diagnosis and management: a comprehensive review

Open access
Pascarella, Giuseppe, Strumia, Alessandro, Piliego, Chiara, Bruno, Federica, Del Buono, Romualdo, Costa, Fabio, Scarlata, Simone, Agrò, Felice Eugenio·2020·Journal of Internal Medicine

Abstract

Severe acute respiratory syndrome coronavirus (SARS‐CoV)‐2, a novel coronavirus from the same family as SARS‐CoV and Middle East respiratory syndrome coronavirus, has spread worldwide leading the World Health Organization to declare a pandemic. The disease caused by SARS‐CoV‐2, coronavirus disease 2019 (COVID‐19), presents flu‐like symptoms which can become serious in high‐risk individuals. Here, we provide an overview of the known clinical features and treatment options for COVID‐19. We carried out a systematic literature search using the main online databases (PubMed, Google Scholar, MEDLINE, UpToDate, Embase and Web of Science) with the following keywords: ‘COVID‐19’, ‘2019‐nCoV’, ‘coronavirus’ and ‘SARS‐CoV‐2’. We included publications from 1 January 2019 to 3 April 2020 which focused on clinical features and treatments. We found that infection is transmitted from human to human and through contact with contaminated environmental surfaces. Hand hygiene is fundamental to prevent contamination. Wearing personal protective equipment is recommended in specific environments. The main symptoms of COVID‐19 are fever, cough, fatigue, slight dyspnoea, sore throat, headache, conjunctivitis and gastrointestinal issues. Real‐time PCR is used as a diagnostic tool using nasal swab, tracheal aspirate or bronchoalveolar lavage samples. Computed tomography findings are important for both diagnosis and follow‐up. To date, there is no evidence of any effective treatment for COVID‐19. The main therapies being used to treat the disease are antiviral drugs, chloroquine/hydroxychloroquine and respiratory therapy. In conclusion, although many therapies have been proposed, quarantine is the only intervention that appears to be effective in decreasing the contagion rate. Specifically designed randomized clinical trials are needed to determine the most appropriate evidence‐based treatment modality.

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Metadata

Authors
Pascarella, G., Strumia, A., Piliego, C., Bruno, F., Del Buono, R., Costa, F., Scarlata, S., & Agrò, F. E.
Venue
Journal of Internal Medicine
Publisher
Wiley
Published
2020-05-13
Volume
288
Issue
2
Pages
192-206
ISSN
  • 0954-6820 (ISSN-L)
  • 1365-2796
OpenAlex
W3019086896
Cited by
1,369
References
21
FWCI
36.24
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: COVID‐19 diagnosis and management: a comprehensive review. https://app.cochat.ai/papers/10.1111/joim.13091
The paper
Pascarella, G., Strumia, A., Piliego, C., Bruno, F., Del Buono, R., Costa, F., Scarlata, S., & Agrò, F. E. (2020). COVID‐19 diagnosis and management: a comprehensive review. Journal of Internal Medicine. https://doi.org/10.1111/joim.13091

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.