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International Journal of Infectious Diseases
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  • Research Article
    Open Access

    Personal Protective Measures during the COVID-19 Pandemic in Germany

    International Journal of Infectious Diseases
    Vol. 121p177–183Published online: May 17, 2022
    • Fabian Kirsch
    • Ann-Kathrin Lindemann
    • Johanna Geppert
    • Dan Borzekowski
    • Mark Lohmann
    • Gaby-Fleur Böl
    Cited in Scopus: 0
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      The first case of COVID-19 in Germany was reported on January 27, 2020 (Bavarian State Ministry of Health and Care, 2020). The virus SARS-CoV-2 spreads fast, and within the first two months, more than 42,000 cases had been notified (Robert Koch Institute, 2021). Containment of the virus was not only complicated by the fact that it was found to be contagious even before the onset of symptoms but also because some individuals can live through an infection without showing any symptoms and still infect others (Almadhi et al., 2021; Buitrago-Garcia et al., 2020).
      Personal Protective Measures during the COVID-19 Pandemic in Germany
    • Case Report
      Open Access

      Successful Treatment of a Patient With Severe COVID-19 Using an Integrated Approach Addressing Mast Cells and Their Mediators

      International Journal of Infectious Diseases
      Vol. 118p164–166Published online: February 25, 2022
      • Theoharis C. Theoharides
      • Lucy Guerra
      • Kapilkumar Patel
      Cited in Scopus: 5
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        SARS-CoV-2 infects cells, leading to a complex immune response that involves the release of mediators, most of which are released from mast cells, leading to lung edema, fibrosis, inflammation, and microthromboses—hallmarks of COVID-19. Here, we report on a patient who was initially hospitalized with severe COVID-19 pneumonia as well as physical and mental fatigue. Despite having been treated with albuterol, azithromycin, ceftriaxone, convalescent plasma, and dexamethasone, her condition continued to worsen to the extent that she was considered for double lung transplant.
        Successful Treatment of a Patient With Severe COVID-19 Using an Integrated Approach Addressing Mast Cells and Their Mediators
      • Research Article
        Open Access

        The impact of COVID-19 on health care–associated infections in intensive care units in low- and middle-income countries: International Nosocomial Infection Control Consortium (INICC) findings

        International Journal of Infectious Diseases
        Vol. 118p83–88Published online: February 23, 2022
        • Victor D. Rosenthal
        • Sheila Nainan Myatra
        • Jigeeshu Vasishtha Divatia
        • Sanjay Biswas
        • Anjana Shrivastava
        • Majeda A. Al-Ruzzieh
        • and others
        Cited in Scopus: 11
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          Before the appearance and worldwide spread of the COVID-19 pandemic, a pervasive decrease in health care–associated infection (HAI) incidence had been observed across hospitals in the United States (Weiner-Lastinger et al., 2021b). Throughout 2020, as COVID-19 swept across the United States in multiple waves of infections, regions experienced steep surges in cases and hospitalizations (Ripa et al., 2021). Some studies specifically noted the occurrence of secondary infections in patients with COVID-19 (Ripa et al., 2021).
        • Research Article
          Open Access

          Country differences in transmissibility, age distribution and case-fatality of SARS-CoV-2: a global ecological analysis

          International Journal of Infectious Diseases
          Vol. 114p210–218Published online: November 5, 2021
          • Caroline Favas
          • Prudence Jarrett
          • Ruwan Ratnayake
          • Oliver J Watson
          • Francesco Checchi
          Cited in Scopus: 4
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            Objectives The first COVID-19 pandemic waves in many low-income countries appeared milder than initially forecasted. We conducted a country-level ecological study to describe patterns in key SARS-CoV-2 outcomes by country and region and explore associations with potential explanatory factors, including population age structure and prior exposure to endemic parasitic infections. Methods We collected publicly available data and compared them using standardisation techniques. We then explored the association between exposures and outcomes using random forest and linear regression.
            Country differences in transmissibility, age distribution and case-fatality of SARS-CoV-2: a global ecological analysis
          • Research Article
            Open Access

            Endotheliopathy marked by high von Willebrand factor (vWF) antigen in COVID-19 is associated with poor outcome: a systematic review and meta-analysis

            International Journal of Infectious Diseases
            Vol. 117p267–273Published online: June 27, 2021
            • Arief Wibowo
            • Raymond Pranata
            • Michael Anthonius Lim
            • Mohammad Rizki Akbara
            • Januar Wibawa Martha
            Cited in Scopus: 9
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              Coronavirus disease 2019 (COVID-19) is currently one of the most common diseases in the world, and has a considerable death toll (WHO, 2021). Although most patients have mild–moderate clinical manifestations, a significant proportion of patients develop life-threatening complications (Lim et al., 2020; Pranata et al., 2020a, 2021c). Complications caused by coagulopathy are among the most important. Activation of the coagulation pathway and endothelial cells (ECs) is a hallmark of severe COVID-19, which is consistent with high rates of venous thromboembolism (VTE), pulmonary embolism (PE) and disseminated intravascular coagulation (DIC) (Mancini et al., 2021a; Ward et al., 2021).
              Endotheliopathy marked by high von Willebrand factor (vWF) antigen in COVID-19 is associated with poor outcome: a systematic review and meta-analysis
            • Research Article
              Open Access

              Evaluation of the AMP SARS-CoV-2 rapid antigen test in a hospital setting

              International Journal of Infectious Diseases
              Vol. 108p353–356Published online: June 1, 2021
              • Georg Leixner
              • Astrid Voill-Glaninger
              • Elisabeth Bonner
              • Anna Kreil
              • René Zadnikar
              • André Viveiros
              Cited in Scopus: 7
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                The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a broad clinical spectrum known as coronavirus disease 2019 (COVID-19) and was first identified in December 2019 in Wuhan, China (Zhu et al., 2020; Zhou et al., 2020). Within a short time, a worldwide spread led to the current pandemic that will presumably remain the leading infectious disease topic in 2021 (WHO, 2020a).
                Evaluation of the AMP SARS-CoV-2 rapid antigen test in a hospital setting
              • Research Article
                Open Access

                Usefulness of the COVID-GRAM and CURB-65 scores for predicting severity in patients with COVID-19

                International Journal of Infectious Diseases
                Vol. 108p282–288Published online: May 24, 2021
                • Carlos Armiñanzas
                • Francisco Arnaiz de las Revillas
                • Manuel Gutiérrez Cuadra
                • Ana Arnaiz
                • Marta Fernández Sampedro
                • Claudia González-Rico
                • and others
                Cited in Scopus: 10
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                  In December 2019, the novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in the city of Wuhan, China (Sohrabi et al., 2020). Spreading around the world in the early part of 2020, this disease outbreak is now considered a pandemic, with more than 45 million cases worldwide and more than 1 100 000 deaths by the end of October 2020, according to the World Health Organization (who.int/emergencies, 2020).
                  Usefulness of the COVID-GRAM and CURB-65 scores for predicting severity in patients with COVID-19
                • Research Article
                  Open Access

                  Candesartan as a tentative treatment for COVID-19: A prospective non-randomized open-label study

                  International Journal of Infectious Diseases
                  Vol. 108p159–166Published online: May 22, 2021
                  • Antonia Anna Lukito
                  • Allen Widysanto
                  • Theo Audi Yanto Lemuel
                  • Ignatius Bima Prasetya
                  • Billy Massie
                  • Mira Yuniarti
                  • and others
                  Cited in Scopus: 3
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                    Coronavirus disease 2019 (COVID-19) is a global public health emergency (World Health Organization, 2021). Hundreds of millions of people have been infected with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) at the time of writing. Although most patients with COVID-19 are asymptomatic or experience only mild influenza-like illness (Day, 2020), a significant proportion may develop severe pneumonia, acute respiratory distress syndrome (ARDS), multi-organ failure (MOF) and death (Lim et al., 2020).
                    Candesartan as a tentative treatment for COVID-19: A prospective non-randomized open-label study
                  • Research Article
                    Open Access

                    Active prescription of low-dose aspirin during or prior to hospitalization and mortality in COVID-19: A systematic review and meta-analysis of adjusted effect estimates

                    International Journal of Infectious Diseases
                    Vol. 108p6–12Published online: May 14, 2021
                    • Januar Wibawa Martha
                    • Raymond Pranata
                    • Michael Anthonius Lim
                    • Arief Wibowo
                    • Mohammad Rizki Akbar
                    Cited in Scopus: 24
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                      Repurposing of available drugs for patients with coronavirus disease 2019 (COVID-19) has gained interest due to the scarcity of drugs proven to be useful in these patients. Dexamethasone, statins, metformin, dipeptidyl peptidase-4 inhibitors and renin–angiotensin system inhibitors have shown clinical benefits for severe and critically ill patients, especially those who are mechanically ventilated (Castiglione et al., 2020; Lim and Pranata, 2020a; Lukito et al., 2020; Pranata et al., 2020c; Rakhmat et al., 2021).
                      Active prescription of low-dose aspirin during or prior to hospitalization and mortality in COVID-19: A systematic review and meta-analysis of adjusted effect estimates
                    • Short Communication
                      Open Access

                      The initial impact of a national BNT162b2 mRNA COVID-19 vaccine rollout

                      International Journal of Infectious Diseases
                      Vol. 108p116–118Published online: May 13, 2021
                      • Ahmed Zaqout
                      • Joanne Daghfal
                      • Israa Alaqad
                      • Saleh A.N. Hussein
                      • Abdullah Aldushain
                      • Muna A. Almaslamani
                      • and others
                      Cited in Scopus: 10
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                        A two-dose regimen of BNT162b2, the Pfizer-BioNTech COVID-19 mRNA vaccine, was shown to reduce the risk of SARS-CoV-2 by around 95% in a randomized clinical trial and in a mass national vaccination program (Dagan et al., 2021; Polack et al., 2020). On 23 December 2020, Qatar started a national BNT162b2 rollout programme, in addition to existing COVID-19 public health control measures. The rollout initially prioritised healthcare workers, individuals aged ≥50 years, and those with chronic or immunosuppressive medical conditions.
                        The initial impact of a national BNT162b2 mRNA COVID-19 vaccine rollout
                      • Short Communication
                        Open Access

                        Third wave of COVID-19 in Madrid, Spain

                        International Journal of Infectious Diseases
                        Vol. 107p212–214Published online: April 27, 2021
                        • Vicente Soriano
                        • Carmen de Mendoza
                        • Felix Gómez-Gallego
                        • Octavio Corral
                        • Pablo Barreiro
                        Cited in Scopus: 23
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                          Madrid has been the epicenter of COVID-19 in Spain, primarily due to its high population density and mobility. The city has 3.3 million people, with 6.8 million across the metropolitan area. Up to March 15 2021, roughly 605 000 persons had been diagnosed with SARS-CoV-2 infection and 14 000 had died in the Madrid region (Ministerio de Sanidad, 2021; Instituto Nacional de Estadística, 2021). These figures refer to laboratory-confirmed cases, which underestimate the true number as testing access was limited during the earlier stages of the pandemic (Soriano and Barreiro, 2020).
                          Third wave of COVID-19 in Madrid, Spain
                        • Research Article
                          Open Access

                          Impact of COVID-19 on vasooclusive crisis in patients with sickle cell anaemia

                          International Journal of Infectious Diseases
                          Vol. 106p128–133Published online: March 16, 2021
                          • S. Alkindi
                          • R.A. Elsadek
                          • A. Al-Madhani
                          • M. Al-Musalhi
                          • S.Y. AlKindi
                          • G. Al-Khadouri
                          • and others
                          Cited in Scopus: 10
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                            COVID-19, caused by SARS-CoV-2 (Gorbalenya et al., 2020), has spread to 191 countries and all continents ( https://coronavirus.jhu.edu/map.html ), and the pandemic shows no signs of coming under control, despite global efforts. The pandemic has resulted in an unprecedented number of deaths globally, with widespread lockdowns and disruption to world economies and businesses (Fauci et al., 2020). The clinical features of SARS-CoV-2 vary from mild in approximately 80% of cases, severe in 15% and critical in 5%.
                          • Research Article
                            Open Access

                            Efficacy and safety of pegylated interferon alfa-2b in moderate COVID-19: A phase II, randomized, controlled, open-label study

                            International Journal of Infectious Diseases
                            Vol. 105p516–521Published online: March 10, 2021
                            • Anuja Pandit
                            • Nirav Bhalani
                            • B.L. Shashi Bhushan
                            • Parshottam Koradia
                            • Shweta Gargiya
                            • Vinay Bhomia
                            • and others
                            Cited in Scopus: 34
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                              A novel coronavirus disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in December 2019 (COVID-19) in a cluster of patients in Wuhan, China, which has been designated a worldwide pandemic (Cucinotta and Vanelli, 2020; Spinelli and Pellino, 2020). As of 31 January 2021, there have been 102,139,771 confirmed cases of COVID-19 worldwide, including 2,211,762 reported deaths (WHO, 2021).
                              Efficacy and safety of pegylated interferon alfa-2b in moderate COVID-19: A phase II, randomized, controlled, open-label study
                            • Research Article
                              Open Access

                              Comparative assessment of mortality risk factors between admission and follow-up models among patients hospitalized with COVID-19

                              International Journal of Infectious Diseases
                              Vol. 105p723–729Published online: March 9, 2021
                              • Felippe Lazar Neto
                              • Guilherme A. Salzstein
                              • André L. Cortez
                              • Thaís L. Bastos
                              • Fabíola V.D. Baptista
                              • Joanne A. Moreira
                              • and others
                              Cited in Scopus: 10
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                                The SARS-CoV-2 virus has infected more than 100 million and killed nearly 2.5 million people worldwide over the past few months (JHU, 2020). Although most patients are asymptomatic or have mild symptoms, 10% of them require hospitalization and 5% advanced medical support (Wu and McGoogan, 2020). Early identification of severe cases that will demand longer hospitalizations and increased costs can help guide medical decisions and manage hospital resources, especially in economically deprived areas.
                                Comparative assessment of mortality risk factors between admission and follow-up models among patients hospitalized with COVID-19
                              • Short Communication
                                Open Access

                                Main differences between the first and second waves of COVID-19 in Madrid, Spain

                                International Journal of Infectious Diseases
                                Vol. 105p374–376Published online: March 5, 2021
                                • Vicente Soriano
                                • Pilar Ganado-Pinilla
                                • Miguel Sanchez-Santos
                                • Felix Gómez-Gallego
                                • Pablo Barreiro
                                • Carmen de Mendoza
                                • and others
                                Cited in Scopus: 63
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                                  The emergence and rapid global spread of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the causative agent of coronavirus disease 2019 (COVID-19), from Wuhan, China at the end of 2019 represented an unprecedented phenomenon in medicine. COVID-19 continues to challenge health services and disrupt social and economic activities globally. In Spain, the first wave commenced in mid-March 2020 and lasted for 3 months. It finally abated due to strict lockdown and home confinement. Following relaxation of measures during the summer, a second wave commenced in mid-September 2020 and extended until Christmas 2020.
                                • Short Communication
                                  Open Access

                                  Infection sustained by lineage B.1.1.7 of SARS-CoV-2 is characterised by longer persistence and higher viral RNA loads in nasopharyngeal swabs

                                  International Journal of Infectious Diseases
                                  Vol. 105p753–755Published online: March 5, 2021
                                  • Paolo Calistri
                                  • Laura Amato
                                  • Ilaria Puglia
                                  • Francesca Cito
                                  • Alessandra Di Giuseppe
                                  • Maria Luisa Danzetta
                                  • and others
                                  Cited in Scopus: 56
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                                    Starting from March 2020, nasopharyngeal swabs collected in three provinces (Chieti, L’Aquila and Teramo) of Abruzzo, a central Region of Italy, were tested daily for the presence of SARS-CoV-2 RNA at the Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM) (Danzetta et al., 2020).
                                  • Research Article
                                    Open Access

                                    Risk and predictive factors of prolonged viral RNA shedding in upper respiratory specimens in a large cohort of COVID-19 patients admitted to an Italian reference hospital

                                    International Journal of Infectious Diseases
                                    Vol. 105p532–539Published online: March 3, 2021
                                    • Annalisa Mondi
                                    • Patrizia Lorenzini
                                    • Concetta Castilletti
                                    • Roberta Gagliardini
                                    • Eleonora Lalle
                                    • Angela Corpolongo
                                    • and others
                                    Cited in Scopus: 15
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                                      The emergence and rapid spread of the COVID-19 outbreak, caused by SARS-CoV-2, has become a global health emergency and one of our century's greatest challenges. As of February 24, 2021, approximately 111 million confirmed cases and more than 2.4 million deaths had been reported worldwide (Anon, 2020).
                                      Risk and predictive factors of prolonged viral RNA shedding in upper respiratory specimens in a large cohort of COVID-19 patients admitted to an Italian reference hospital
                                    • Perspective
                                      Open Access

                                      Prioritizing second-generation SARS-CoV-2 vaccines through low-dosage challenge studies

                                      International Journal of Infectious Diseases
                                      Vol. 105p307–311Published online: February 12, 2021
                                      • Bastian Steuwer
                                      • Euzebiusz Jamrozik
                                      • Nir Eyal
                                      Cited in Scopus: 7
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                                        In controlled human infection studies (‘challenge studies’), research participants, randomized into an intervention and a control group, are deliberately infected so that researchers can test interventions or investigate other scientific hypotheses. The UK government has announced its support for challenge studies for SARS-CoV-2, which began in early 2021 (Callaway, 2020). First-generation SARS-CoV-2 vaccines have high efficacy in protecting against disease (Grady, 2020), but the longterm safety and effectiveness of these vaccines are currently uncertain (Grady, 2020).
                                      • Research Article
                                        Open Access

                                        Temporal profile of SARS-CoV-2 viral load in posterior nasopharyngeal samples: Analysis of 944 patients in Apulia, Italy

                                        International Journal of Infectious Diseases
                                        Vol. 104p696–700Published online: February 2, 2021
                                        • Moris Sangineto
                                        • Fabio Arena
                                        • Rosella De Nittis
                                        • Rosanna Villani
                                        • Crescenzio Gallo
                                        • Gaetano Serviddio
                                        Cited in Scopus: 0
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                                          From early 2020 a new Coronavirus disease named COVID-19 has spread worldwide with Italy being one of the most affected countries, albeit with substantial regional differences (IstitutoSuperiorediSanità; WHO). In the Apulia region (southern Italy) approximately 7900 cases of COVID-19 infection have been reported so far, with a peak at the end of April and a substantial decrease from May-June. The rate of hospitalization and number of severe cases also fell during this time (IstitutoSuperiorediSanità).
                                          Temporal profile of SARS-CoV-2 viral load in posterior nasopharyngeal samples: Analysis of 944 patients in Apulia, Italy
                                        • Research Article
                                          Open Access

                                          No clinical benefit in mortality associated with hydroxychloroquine treatment in patients with COVID-19

                                          International Journal of Infectious Diseases
                                          Vol. 104p34–40Published online: December 23, 2020
                                          • Kenneth Sands
                                          • Richard Wenzel
                                          • Laura McLean
                                          • Kimberly Korwek
                                          • Jonathon Roach
                                          • Karla Miller
                                          • and others
                                          Cited in Scopus: 5
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                                            The outbreak of coronavirus disease 2019 (COVID-19), caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was declared a pandemic by the World Health Organization on March 11, 2020. As of June 22, 2020, a total of 2,275,645 COVID-19 cases and 119,923 related deaths had been reported in the United States (Centers for Disease Control and Prevention, 2020). Reports from around the world indicate that this disease will continue to spread with the potential to cause severe illness in 10%–20% of those infected and to lead to hospitalization, ICU admission, ventilator support, and death.
                                            No clinical benefit in mortality associated with hydroxychloroquine treatment in patients with COVID-19
                                          • Perspective
                                            Open Access

                                            Possible aerosol transmission of COVID-19 associated with an outbreak in an apartment in Seoul, South Korea, 2020

                                            International Journal of Infectious Diseases
                                            Vol. 104p73–76Published online: December 16, 2020
                                            • Seo Eun Hwang
                                            • Je Hwan Chang
                                            • Bumjo Oh
                                            • Jongho Heo
                                            Cited in Scopus: 75
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                                              The possibility of aerosol transmission of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) remains controversial. An aerosol is defined as a suspension of particles of <5 μm in the air (or in a gas), which is small enough to reach the respiratory bronchioles and alveoli (Wilson et al., 2020). The WHO merely acknowledged that aerosol transmission might be another transmission route for SARS-CoV-2 without further response, and international and governmental guidelines retain the rule of 2 m of social distance based on droplet transmission (Morawska and Milton, 2020; Wilson et al., 2020).
                                              Possible aerosol transmission of COVID-19 associated with an outbreak in an apartment in Seoul, South Korea, 2020
                                            • Review
                                              Open Access

                                              A high-throughput drug screening strategy against coronaviruses

                                              International Journal of Infectious Diseases
                                              Vol. 103p300–304Published online: December 14, 2020
                                              • Jia Liu
                                              • Kang Li
                                              • Lin Cheng
                                              • Jingjin Shao
                                              • Shukun Yang
                                              • Wei Zhang
                                              • and others
                                              Cited in Scopus: 7
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                                                The emergence and re-emergence of coronavirus (CoV) infections have continually caused serious public health concerns over past decades. Severe acute CoV infections, including severe acute respiratory syndrome-related coronavirus (SARS-CoV) in 2002, Middle East respiratory syndrome-related coronavirus (MERS-CoV) in 2012, and the currently circulating SARS-CoV-2, have become a growing and long-lasting global threat (Gao, 2018). The first case of SARS-CoV-2 was deemed to occur in December 2019 and identified as a new type of coronavirus in early January 2020 (Burki, 2020; Chen et al., 2020a; Gralinski and Menachery, 2020; Wu et al., 2020b; Zhou et al., 2020b).
                                                A high-throughput drug screening strategy against coronaviruses
                                              • Research Article
                                                Open Access

                                                Severe COVID-19 Infection and Pediatric Comorbidities: A Systematic Review and Meta-Analysis

                                                International Journal of Infectious Diseases
                                                Vol. 103p246–256Published online: November 20, 2020
                                                • Boyan K. Tsankov
                                                • Joannie M. Allaire
                                                • Michael A. Irvine
                                                • Alison A. Lopez
                                                • Laura J. Sauvé
                                                • Bruce A. Vallance
                                                • and others
                                                Cited in Scopus: 140
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                                                  What is known What is new
                                                  Severe COVID-19 Infection and Pediatric Comorbidities: A Systematic Review and Meta-Analysis
                                                • Research Article
                                                  Open Access

                                                  Spread of COVID-19 and policy responses in Vietnam: An overview

                                                  International Journal of Infectious Diseases
                                                  Vol. 103p157–161Published online: November 18, 2020
                                                  • Quang Van Nguyen
                                                  • Dung Anh Cao
                                                  • Son Hong Nghiem
                                                  Cited in Scopus: 26
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                                                    The coronavirus disease 2019 (COVID-19) pandemic has spread rapidly across the globe since December 2019. As of 26 October 2020, more than 43.5 million COVID-19 confirmed cases have been reported, with almost 1.2 million associated deaths (Johns Hopkins University, 2020). Furthermore, the number of confirmed cases is still increasing rapidly in many countries (World Health Organisation, 2020).
                                                    Spread of COVID-19 and policy responses in Vietnam: An overview
                                                  • Research Article
                                                    Open Access

                                                    Efficacy and safety of favipiravir, an oral RNA-dependent RNA polymerase inhibitor, in mild-to-moderate COVID-19: A randomized, comparative, open-label, multicenter, phase 3 clinical trial

                                                    International Journal of Infectious Diseases
                                                    Vol. 103p62–71Published online: November 16, 2020
                                                    • Zarir F. Udwadia
                                                    • Pawan Singh
                                                    • Hanmant Barkate
                                                    • Saiprasad Patil
                                                    • Shabbir Rangwala
                                                    • Amol Pendse
                                                    • and others
                                                    Cited in Scopus: 146
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                                                      A novel coronavirus (severe acute respiratory syndrome coronavirus 2; SARS-CoV-2), emerged in late December 2019, which resulted in the ongoing worldwide coronavirus disease 2019 (COVID-19) pandemic (World Health Organization, 2020; Zhou et al., 2020 Zhou et al., 2020). As of September 25, 2020, the Johns Hopkins University COVID-19 global dashboard reports 32,390,204 confirmed cases and 985,302 deaths worldwide attributed to SARS-CoV-2 (The Center for Systems Science and Engineering at Johns Hopkins, 2020).
                                                      Efficacy and safety of favipiravir, an oral RNA-dependent RNA polymerase inhibitor, in mild-to-moderate COVID-19: A randomized, comparative, open-label, multicenter, phase 3 clinical trial
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