Articles: sars-cov-2.
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Pol. Arch. Med. Wewn. · Jan 2020
ReviewMolecular epidemiology of SARS CoV-2: a review of current data on genetic variability of the virus.
Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), associated with coronavirus disease 2019 (COVID‑19), is a novel pathogen recently introduced to the human population. It is characterized by rapid epidemic transmissions due to lack of herd immunity as well as by notable mortality which increases with age and in patients with comorbidities. Outbreak forecasting and modelling suggest that the number of infected people will continue to rise globally in the forthcoming months. ⋯ It is unknown if this difference is associated with a higher virulence of viral strains, differences in host genomics, access to medical resources, or other unknown variables. Little is also known about SARS‑CoV‑2 evolutionary and transmission patterns as a limited number of large‑scale sequence and phylogenetic analyses have been performed so far. In this review, we aimed to provide concise data on the SARS‑CoV‑2 genomics, molecular evolution, and variability with special consideration of the disease course.
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On January 23, 2020, China imposed a quarantine on the city of Wuhan to contain the SARS-CoV-2 outbreak. Regardless of this measure, the new infection has spread to several countries around the world. ⋯ The estimation of the time of arrival of the outbreak from its epicenter, allows for a time period to implement and strengthen preventive measures aimed at the general population as well as to strengthen hospital infrastructure and training of human resources. In the present study, this estimation was accurate, as observed from the real data of the beginning of the outbreak in Mexico City up to April 6, 2020.
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When the population risk factors and reporting systems are similar, the assessment of the case-fatality (or lethality) rate (ratio of cases to deaths) represents a perfect tool for analyzing, understanding and improving the overall efficiency of the health system. The objective of this article is to estimate the influence of the hospital care system on lethality in metropolitan France during the inception of the COVID-19 epidemic, by analyzing the spatial variability of the hospital case-fatality rate (CFR) between French districts. In theory, the hospital age-standardized CFR should not display significant differences between districts, since hospital lethality depends on the virulence of the pathogen (the SARS-CoV-2 virus), the vulnerability of the population (mainly age-related), the healthcare system quality, and cases and deaths definition and the recording accuracy. ⋯ In conclusion, it appears that during the first critical phase of COVID-19 ramping epidemic in metropolitan France, the higher case-fatality rates were generally related to the higher level of hospitalization, then potentially related to the overload of healthcare system. Also, low hospitalization with high case-fatality rates were mostly found in districts with low population density, and could due to some limitation of the local healthcare access. However, the magnitude of this increase of case-fatality rate represents less than 10 per cent of the average case-fatality rate, and this variation is small compared to much greater variation across countries reported in the literature.
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To describe the prevalence and factors associated with pressure injuries related to the use of personal protective equipment during the COVID-19 pandemic. ⋯ Pressure injuries related to the use of medical devices showed a high prevalence in this population. The recognition of the damage in these professionals makes it possible to advance in prevention strategies.
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Report on the implementation of assistance protocols in the face of the COVID-19 pandemic developed in the surgical center of a large university hospital in Rio Grande do Sul. ⋯ With the established routines and a large number of trained professionals, it was possible to observe a better preparation of the multidisciplinary team in face of the needs imposed by the new coronavirus.