[Severe acute respiratory syndrome: a global overview of the epidemic]
- PMID: 12870423
[Severe acute respiratory syndrome: a global overview of the epidemic]
Abstract
In early February 2003, the World Health Organization (WHO) began receiving reports of patients with a syndrome characterized by an atypical pneumonia with rapid progression to respiratory failure without an identified cause despite extensive diagnostic workups. Most of these reports pointed out that the outbreak started in Southern China, specifically in the Guandong Province. The initial outbreak in South East Asia has already spread to other Regions in Asia, Europe, North and South America, and South Africa. Many of these cases can be linked through chains of transmission to an index case from the Guandong Province who visited Hong Kong. Although the exact mode of transmission has not been clearly established, the etiology of this syndrome has already been identified. A novel Coronavirus has been identified by electron microscopy and molecular assays in multiple laboratories from respiratory specimens throughout the world. The syndrome has been defined as SARS (Severe Acute Respiratory Syndrome) by WHO, and is characterized by an incubation period between 1 and 10 days (average 5 days) and by a febrile phase that usually lasts approximately 3 days. During the respiratory phase that begins around day 3, patients start developing a dry cough, shortness of breath and hypoxemia. Mechanical ventilatory support is required in about 10 to 40% of cases and the case-fatality rate ranges between 3 and 16%. The laboratory findings in SARS cases include leukopenia, thrombocytopenia, and a rise in transaminases and lactic dehydrogenase levels. Treatment of SARS includes supportive measures and the empiric use of ribavirin. Respiratory isolation, use of respiratory masks, and compulsory hand hygiene constitute the principal preventive measures. The confirmation of a case can be performed at reference laboratories by serologic and molecular assays. From the onset of this epidemic Mexico established a surveillance system as well as clinical guidelines and recommendations for the identification, prevention of secondary spread, and medical management of suspicious and probable cases by health care personnel.
Similar articles
-
Severe acute respiratory syndrome.Int J Tuberc Lung Dis. 2003 Dec;7(12):1117-30. Int J Tuberc Lung Dis. 2003. PMID: 14677886 Review.
-
[SARS: a new emergency in the world health].Recenti Prog Med. 2003 Jul-Aug;94(7-8):284-94. Recenti Prog Med. 2003. PMID: 12868233 Review. Italian.
-
[Study on the epidemiology and measures for control on severe acute respiratory syndrome in Guangzhou city].Zhonghua Liu Xing Bing Xue Za Zhi. 2003 May;24(5):353-7. Zhonghua Liu Xing Bing Xue Za Zhi. 2003. PMID: 12820926 Chinese.
-
Severe acute respiratory distress syndrome (SARS): a critical care perspective.Crit Care Med. 2003 Nov;31(11):2684-92. doi: 10.1097/01.CCM.0000091929.51288.5F. Crit Care Med. 2003. PMID: 14605542 Review.
-
[Severe acute respiratory syndrome: the first transmissible disease of the 21st century].Recenti Prog Med. 2003 Jul-Aug;94(7-8):295-303. Recenti Prog Med. 2003. PMID: 12868234 Review. Italian.
Cited by
-
WASH to control COVID-19: A rapid review.Front Public Health. 2022 Aug 11;10:976423. doi: 10.3389/fpubh.2022.976423. eCollection 2022. Front Public Health. 2022. PMID: 36033810 Free PMC article. Review.
-
Recent progress in the discovery of inhibitors targeting coronavirus proteases.Virol Sin. 2016 Feb;31(1):24-30. doi: 10.1007/s12250-015-3711-3. Epub 2016 Feb 19. Virol Sin. 2016. PMID: 26920707 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Miscellaneous