Antiviral Drugs
Efforts are underway at various institutions to assess potential anti- SARS-CoV agents in vitro. According to the data available so far, Ribavirin, a "broad spectrum" agent, which is active against various RNA viruses (Tam) and which has been used extensively in SARS patients (Koren), seems to lack in vitro efficacy. Convalescent plasma and normal human immunoglobulin, not containing specific anti- SARS-CoV antibodies, have also been used in SARS patients (Wong). In addition, interferons may be promising candidate drugs (Cinatl 2003b).
In the light of the widespread utilization of traditional Chinese medicine in SARS patients in the Far East it is interesting that glycyrrhizin, a compound found in liquorice roots, was recently reported to have a good in vitro activity against SARS-CoV (Cinatl 2003a).
Further research includes detailed physico-chemical analysis of SARS-CoV proteins to allow the development of novel compounds based on targeted drug design (Anand; Thiel).
- April 8-10
- April 12
- June 6
- August 14
- September 8
- September 24
- References
- 30 Virology
- Discovery of the SARS Virus
- Initial Research
- Coronaviridae
- SARS Co-V
- Genome Sequence
- Antiviral Agents and Vaccines
- Antiviral Drugs
- Vaccines
- Outlook
- References
- Routes of Transmission
- Patient Factors in Transmission
- Asymptomatic Patients
- Symptomatic Patients
- The Unsuspected Patients
- High-Risk Activities
- Transmission during Quarantine
- Introduction
- Global Spread
- Hong Kong
- Other Countries
- Eradication
- Outlook
- Introduction
- International Coordination
- Management of SARS in the post-outbreak period
- National Measures
- Legislation
- Quarantine after Discharge
- Infection Control in Healthcare Settings
- General Measures
- Protective Measures
- Special Settings
- Intensive Care Units
- Intubating a SARS Patient
- Anesthesia
- Triage
- Internet Sources
- After the Outbreak
- Conclusion
- 108 Case Definition
- WHO Case Definition
- Suspect case
- Reclassification of cases
- CDC Case Definition
- 112 Diagnostic Tests
- Introduction
- Laboratory tests
- Virus isolation
- Antibody detection
- Interpretation
- Limitations
- Biosafety considerations
- Clinical Presentation and Diagnosis
- Clinical Presentation
- Diagnosis
- Clinical Course
- Histopathology
- Lung Biopsy
- Postmortem Findings
- Discharge and Follow-up
- Psychosocial Issues
- References
- 144 SARS Treatment
- Antibiotic therapy
- Antiviral therapy
- Ribavirin
- Alternative medicine
- Immunomodulatory therapy
- Other immunomodulators
- Assisted ventilation
- Invasive mechanical ventilation
- Clinical outcomes
- Appendix 1
- A standardized treatment protocol for adult SARS in Hong Kong
- Appendix 2
- A treatment regimen for SARS in Guangzhou, China
- References
- 168 Pediatric SARS
- Clinical Manifestation