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Management and Treatment of COVID-19: The Chinese Experience

Identifieur interne : 000499 ( 2020/Analysis ); précédent : 000498; suivant : 000500

Management and Treatment of COVID-19: The Chinese Experience

Auteurs : Fujun Peng [République populaire de Chine] ; Lei Tu [République populaire de Chine] ; Yongshi Yang [République populaire de Chine] ; Peng Hu [République populaire de Chine] ; Runsheng Wang [République populaire de Chine] ; Qinyong Hu [République populaire de Chine] ; Feng Cao [République populaire de Chine] ; Taijiao Jiang [République populaire de Chine] ; Jinlyu Sun [République populaire de Chine] ; Guogang Xu [République populaire de Chine] ; Christopher Chang [États-Unis]

Source :

RBID : PMC:7162773

Abstract

With over 1,800,000 cases and 110,000 deaths globally, COVID-19 is one of worst infectious disease outbreaks in history. The objective of this paper is to critically review the available evidence regarding the lessons learned from the Chinese experience regarding COVID-19 prevention and management. The steps that have led to a near disappearance of new cases in China included rapid sequencing of the virus to establish testing kits which allowed tracking of infected persons in and out of Wuhan. In addition, aggressive quarantine measures included the complete isolation of Wuhan and then later Hebei and the rest of the country, as well as closure of all schools and non-essential businesses. Other measures included the rapid construction of two new hospitals and the establishment of Fangcang shelter hospitals. In the absence of a vaccine, the management of COVID-19 included antivirals, high flow oxygen, mechanical ventilation, corticosteroids, hydroxychloroquine, tocilizumab, interferons, intravenous immunoglobulin and convalescent plasma infusions. These measures appeared to provide only moderate success. While some measures have been supported by weak descriptive data, their effectiveness is still unclear pending well-controlled clinical trials. In the end, it was the enforcement of drastic quarantine measures that stopped SARS-CoV-2 from spreading. The earlier the implementation, the less likely resources will be depleted. The most critical factors in stopping a pandemic are early recognition of infected individuals, carriers and contacts, and early implementation of quarantine measures with an organized, proactive and unified strategy at a national level. Delays result in significantly higher death tolls.


Url:
DOI: 10.1016/j.cjca.2020.04.010
PubMed: NONE
PubMed Central: 7162773


Affiliations:


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PMC:7162773

Le document en format XML

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<p>With over 1,800,000 cases and 110,000 deaths globally, COVID-19 is one of worst infectious disease outbreaks in history. The objective of this paper is to critically review the available evidence regarding the lessons learned from the Chinese experience regarding COVID-19 prevention and management. The steps that have led to a near disappearance of new cases in China included rapid sequencing of the virus to establish testing kits which allowed tracking of infected persons in and out of Wuhan. In addition, aggressive quarantine measures included the complete isolation of Wuhan and then later Hebei and the rest of the country, as well as closure of all schools and non-essential businesses. Other measures included the rapid construction of two new hospitals and the establishment of Fangcang shelter hospitals. In the absence of a vaccine, the management of COVID-19 included antivirals, high flow oxygen, mechanical ventilation, corticosteroids, hydroxychloroquine, tocilizumab, interferons, intravenous immunoglobulin and convalescent plasma infusions. These measures appeared to provide only moderate success. While some measures have been supported by weak descriptive data, their effectiveness is still unclear pending well-controlled clinical trials. In the end, it was the enforcement of drastic quarantine measures that stopped SARS-CoV-2 from spreading. The earlier the implementation, the less likely resources will be depleted. The most critical factors in stopping a pandemic are early recognition of infected individuals, carriers and contacts, and early implementation of quarantine measures with an organized, proactive and unified strategy at a national level. Delays result in significantly higher death tolls.</p>
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<author>
<name sortKey="Li, Y" uniqKey="Li Y">Y. Li</name>
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<li>République populaire de Chine</li>
<li>États-Unis</li>
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<li>Floride</li>
<li>Hubei</li>
</region>
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<li>Pékin</li>
<li>Wuhan</li>
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<country name="République populaire de Chine">
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<name sortKey="Peng, Fujun" sort="Peng, Fujun" uniqKey="Peng F" first="Fujun" last="Peng">Fujun Peng</name>
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<name sortKey="Cao, Feng" sort="Cao, Feng" uniqKey="Cao F" first="Feng" last="Cao">Feng Cao</name>
<name sortKey="Hu, Peng" sort="Hu, Peng" uniqKey="Hu P" first="Peng" last="Hu">Peng Hu</name>
<name sortKey="Hu, Qinyong" sort="Hu, Qinyong" uniqKey="Hu Q" first="Qinyong" last="Hu">Qinyong Hu</name>
<name sortKey="Jiang, Taijiao" sort="Jiang, Taijiao" uniqKey="Jiang T" first="Taijiao" last="Jiang">Taijiao Jiang</name>
<name sortKey="Sun, Jinlyu" sort="Sun, Jinlyu" uniqKey="Sun J" first="Jinlyu" last="Sun">Jinlyu Sun</name>
<name sortKey="Tu, Lei" sort="Tu, Lei" uniqKey="Tu L" first="Lei" last="Tu">Lei Tu</name>
<name sortKey="Wang, Runsheng" sort="Wang, Runsheng" uniqKey="Wang R" first="Runsheng" last="Wang">Runsheng Wang</name>
<name sortKey="Xu, Guogang" sort="Xu, Guogang" uniqKey="Xu G" first="Guogang" last="Xu">Guogang Xu</name>
<name sortKey="Yang, Yongshi" sort="Yang, Yongshi" uniqKey="Yang Y" first="Yongshi" last="Yang">Yongshi Yang</name>
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<country name="États-Unis">
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<name sortKey="Chang, Christopher" sort="Chang, Christopher" uniqKey="Chang C" first="Christopher" last="Chang">Christopher Chang</name>
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<name sortKey="Chang, Christopher" sort="Chang, Christopher" uniqKey="Chang C" first="Christopher" last="Chang">Christopher Chang</name>
</country>
</tree>
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