A review of treatment modalities for Middle East Respiratory Syndrome
Identifieur interne : 001398 ( Main/Exploration ); précédent : 001397; suivant : 001399A review of treatment modalities for Middle East Respiratory Syndrome
Auteurs : Yin Mo [Singapour] ; Dale Fisher [Singapour]Source :
- Journal of Antimicrobial Chemotherapy [ 0305-7453 ] ; 2016.
Descripteurs français
- KwdFr :
- Anticorps antiviraux (usage thérapeutique), Antiviraux (usage thérapeutique), Facteurs immunologiques (usage thérapeutique), Humains, Infections à coronavirus (), Infections à coronavirus (épidémiologie), Interféron bêta (usage thérapeutique), Lopinavir (usage thérapeutique), Ribavirine (usage thérapeutique), Santé mondiale.
- MESH :
- usage thérapeutique : Anticorps antiviraux, Antiviraux, Facteurs immunologiques, Interféron bêta, Lopinavir, Ribavirine.
- épidémiologie : Infections à coronavirus.
- Humains, Infections à coronavirus, Santé mondiale.
English descriptors
- KwdEn :
- Antibodies, Viral (therapeutic use), Antiviral Agents (therapeutic use), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Global Health, Humans, Immunologic Factors (therapeutic use), Interferon-beta (therapeutic use), Lopinavir (therapeutic use), Ribavirin (therapeutic use).
- MESH :
- chemical , therapeutic use : Antibodies, Viral, Antiviral Agents, Immunologic Factors, Interferon-beta, Lopinavir, Ribavirin.
- epidemiology : Coronavirus Infections.
- therapy : Coronavirus Infections.
- Global Health, Humans.
Abstract
The Middle East Respiratory Syndrome coronavirus (MERS-CoV) has been a focus of international attention since its identification in 2012. Epidemiologically it is characterized by sporadic community cases, which are amplified by hospital-based outbreaks. Healthcare facilities in 27 countries from most continents have experienced imported cases, with the most significant outbreak involving 186 cases in Korea. The mortality internationally is 36% and guidance for clinical management has yet to be developed. Most facilities and healthcare providers outside of the Middle East receiving patients have no or little experience in the clinical management of MERS. When a case does occur there is likely little time for a critical appraisal of the literature and putative pharmacological options. We identified published literature on the management of both MERS-CoV and the Severe Acute Respiratory Syndrome coronavirus (SARS-CoV) through searches of PubMed and WHO and the US CDC websites up to 30 April 2016. A total of 101 publications were retrieved for critical appraisal. Most published literature on therapeutics for MERS are
Url:
DOI: 10.1093/jac/dkw338
PubMed: 27585965
PubMed Central: 7109760
Affiliations:
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of Infectious Diseases</addr-line>,<institution>University Medicine Cluster</institution>,<institution>National University Health System</institution>,<country>Singapore</country></nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Fisher, Dale" sort="Fisher, Dale" uniqKey="Fisher D" first="Dale" last="Fisher">Dale Fisher</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Division of Infectious Diseases</addr-line>,<institution>University Medicine Cluster</institution>,<institution>National University Health System</institution>,<country>Singapore</country></nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Yong Loo Lin School of Medicine</addr-line>,<institution>National University of Singapore</institution>,<country>Singapore</country></nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Antimicrobial Chemotherapy</title><idno type="ISSN">0305-7453</idno><idno type="eISSN">1460-2091</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antibodies, Viral (therapeutic use)</term><term>Antiviral Agents (therapeutic use)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (therapy)</term><term>Global Health</term><term>Humans</term><term>Immunologic Factors (therapeutic use)</term><term>Interferon-beta (therapeutic use)</term><term>Lopinavir (therapeutic use)</term><term>Ribavirin (therapeutic use)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anticorps antiviraux (usage thérapeutique)</term><term>Antiviraux (usage thérapeutique)</term><term>Facteurs immunologiques (usage thérapeutique)</term><term>Humains</term><term>Infections à coronavirus ()</term><term>Infections à coronavirus (épidémiologie)</term><term>Interféron bêta (usage thérapeutique)</term><term>Lopinavir (usage thérapeutique)</term><term>Ribavirine (usage thérapeutique)</term><term>Santé mondiale</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antibodies, Viral</term><term>Antiviral Agents</term><term>Immunologic Factors</term><term>Interferon-beta</term><term>Lopinavir</term><term>Ribavirin</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anticorps antiviraux</term><term>Antiviraux</term><term>Facteurs immunologiques</term><term>Interféron bêta</term><term>Lopinavir</term><term>Ribavirine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Global Health</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Infections à coronavirus</term><term>Santé mondiale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The Middle East Respiratory Syndrome coronavirus (MERS-CoV) has been a focus of international attention since its identification in 2012. Epidemiologically it is characterized by sporadic community cases, which are amplified by hospital-based outbreaks. Healthcare facilities in 27 countries from most continents have experienced imported cases, with the most significant outbreak involving 186 cases in Korea. The mortality internationally is 36% and guidance for clinical management has yet to be developed. Most facilities and healthcare providers outside of the Middle East receiving patients have no or little experience in the clinical management of MERS. When a case does occur there is likely little time for a critical appraisal of the literature and putative pharmacological options. We identified published literature on the management of both MERS-CoV and the Severe Acute Respiratory Syndrome coronavirus (SARS-CoV) through searches of PubMed and WHO and the US CDC websites up to 30 April 2016. A total of 101 publications were retrieved for critical appraisal. Most published literature on therapeutics for MERS are <italic>in vitro</italic> experiments, animal studies and case reports. Current treatment options for MERS can be categorized as: immunotherapy with virus-specific antibodies in convalescent plasma; polyclonal and monoclonal antibodies produced <italic>in vitro</italic> or in genetically modified animals; and antiviral agents. The use of any therapeutics in MERS-CoV remains investigational. The therapeutic agents with potential benefits and warranting further investigation include convalescent plasma, interferon-β/ribavirin combination therapy and lopinavir. Corticosteroids, ribavirin monotherapy and mycophenolic acid likely have toxicities that exceed potential benefits.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zumla, A" uniqKey="Zumla A">A Zumla</name></author><author><name sortKey="Chan, Jf" uniqKey="Chan J">JF Chan</name></author><author><name sortKey="Azhar, Ei" uniqKey="Azhar E">EI Azhar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Ghamdi, M" uniqKey="Al Ghamdi M">M Al Ghamdi</name></author><author><name sortKey="Alghamdi, Km" uniqKey="Alghamdi K">KM Alghamdi</name></author><author><name sortKey="Ghandoora, Y" uniqKey="Ghandoora Y">Y Ghandoora</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Song, W" uniqKey="Song W">W Song</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name></author><author><name sortKey="Wang, N" uniqKey="Wang N">N 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Mo</name></noRegion><name sortKey="Fisher, Dale" sort="Fisher, Dale" uniqKey="Fisher D" first="Dale" last="Fisher">Dale Fisher</name><name sortKey="Fisher, Dale" sort="Fisher, Dale" uniqKey="Fisher D" first="Dale" last="Fisher">Dale Fisher</name><name sortKey="Mo, Yin" sort="Mo, Yin" uniqKey="Mo Y" first="Yin" last="Mo">Yin Mo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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