Epidemic viral pneumonia

被引:17
作者
Lapinsky, Stephen E. [1 ,2 ]
机构
[1] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada
[2] Univ Toronto, Interdepartmental Div Crit Care, Toronto, ON, Canada
关键词
influenza; pandemic; pneumonia; severe acute respiratory syndrome; RESPIRATORY SYNCYTIAL VIRUS; CRITICALLY-ILL PATIENTS; 2009 INFLUENZA A(H1N1); H1N1; INFLUENZA; DOUBLE-BLIND; SARS; CORONAVIRUS; INFECTION; H5N1; TRANSMISSION;
D O I
10.1097/QCO.0b013e328336eaae
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Purpose of review Two recent viral epidemics producing pneumonitis (severe acute respiratory syndrome and pandemic influenza A H1N1) have highlighted the potential for viral infections to cause respiratory failure with a significant risk of mortality. This review describes these epidemics and other causes of epidemic viral pneumonia. Recent findings The recent literature highlights the rapidity with which these emerging viral infections can be characterized and how management strategies, including supportive care, antiviral therapy and infection control precautions, can be rapidly shared and implemented. Summary The severe acute respiratory syndrome outbreak was too short to allow management protocols to be tested in a research environment. The current 2009 influenza A (H1N1) pandemic is fortunately not associated with as high a mortality rate as the avian influenza A (H5N1), another potential pandemic candidate virus. Prior pandemic planning as well as research planning has allowed a rapid response to this outbreak, with a significant amount of literature generated in a few months. Other common seasonal viruses, such as respiratory syncytial virus and parainfluenza, as well as previously poorly recognized viruses such as hantavirus, have the ability to cause significant respiratory morbidity and mortality.
引用
收藏
页码:139 / 144
页数:6
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