Diagnosztikus lépések és a betegség prognózisának becslése COVID-19-fertőzött betegeken

Korsós Anita, Kupcsulik Szilvia, Lovas András, Hankovszky Péter, Molnár Tamás, Szabó Zsolt, Babik Barna

Research output: Article

1 Citation (Scopus)

Abstract

In December 2019, a cluster of pneumonia cases of unknown origin occured in Wuhan, China. The identified infective agent is a novel corona virus called “severe acute respiratory syndrome coronavirus 2” (SARS-CoV-2) and the respiratory disease caused by this agent aquired the name “coronavirus disease 2019” (COVID-19). In March 2020, the World Health Organization (WHO) declared the novel coronavirus outbreak a pandemic. We reviewed the international literature regarding the novel coronavirus outbreak. Here below, we focus mainly on the diagnostic issues of COVID-19 and on the estimation of the prognosis. We detail the relevant anamnestic factors and initial examination results which serve as basics for the clinical suspicion of COVID-19. We also focus on the proper method of microbiological sampling and the relevant informations regarding diagnostic tests like the gold standard real-time reverse transcriptase polymerase chain reaction (RT-PCR) for SARS-CoV-2. We also cite the current national epidemiologic regulations of testing for novel coronavirus. In the last section, we emphasize the importance and the potential way of early identification of high-risk patients. The COVID-19 pandemic may cause substantial epidemiological and healthcare burden even in Hungary. In addition to the epidemiologic interventions aiming the deceleration of the outbreak, the early identification and the correct hospital treatment remain key issues since these may influence mortality. The chances of the critically ill patients could be improved solely by a high-quality and careful critical care. It is prudent to meet the experiences of colleagues working hard with these patients in the already heavily infected countries.

Translated title of the contributionDiagnostic consideration and bedside estimation of the prognosis in COVID-19 patients
Original languageHungarian
Pages (from-to)667-671
Number of pages5
JournalOrvosi hetilap
Volume161
Issue number17
DOIs
Publication statusPublished - máj. 2020

Keywords

  • COVID-19
  • Diagnostic testing
  • High-risk patient
  • Novel coronavirus
  • Outbreak
  • Pandemic
  • Prognosis
  • RT-PCR
  • SARS-CoV-2

ASJC Scopus subject areas

  • Medicine(all)

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