Potential specific therapies in COVID-19

被引:24
|
作者
Gul, Muhammad Hamdan [1 ]
Htun, Zin Mar [2 ]
Shaukat, Nauman [3 ]
Imran, Muhammad [4 ]
Khan, Ahmad [5 ]
机构
[1] Amita Presence St Joseph Hosp, Dept Internal Med, 2900 N Lakeshore Dr, Chicago, IL 60657 USA
[2] Louis A Weiss Mem Hosp, Dept Internal Med, Chicago, IL USA
[3] St Georges Univ Hosp, Cardiothorac Surg, London, England
[4] Armed Forces Inst, Cardiothorac Surg, Rawalpindi, Pakistan
[5] West Virginia Univ, Charleston Div, Dept Internal Med, Charleston, WV 25304 USA
关键词
convalescent blood products; coronavirus; corticosteroids convalescent sera; favipiravir; IL-6; interferons; lopinavir-ritonavir; MERS; novel virus; remdesivir; ribavirin; SARS-COV-1; tocilizumab; ACUTE RESPIRATORY SYNDROME; CONVALESCENT PLASMA; INFLUENZA-A; SYNDROME CORONAVIRUS; EBOLA-VIRUS; CORTICOSTEROID TREATMENT; SYNERGISTICALLY INHIBIT; INTERFERON-GAMMA; RANDOMIZED-TRIAL; ORAL RIBAVIRIN;
D O I
10.1177/1753466620926853
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
COVID-19 has grown into a global pandemic that has strained healthcare throughout the world. There is a sense of urgency in finding a cure for this deadly virus. In this study, we reviewed the empiric options used in common practice for COVID-19, based on the literature available online, with an emphasis on human experiences with these treatments on severe acute respiratory syndrome-associated coronavirus (SARS-COV-1) and other viruses. Convalescent blood products are the most promising potential treatment for use in COVID-19. The use of chloroquine or hydroxychloroquine (HCQ), remdesivir, and tocilizumab are some of the other promising potential therapies; however, they are yet to be tested in randomized clinical trials (RCTs). The use of lopinavir-ritonavir did not prove beneficial in a large RCT. The use of corticosteroids should be avoided in COVID-19 pneumonia unless used for other indications, based on the suggestion of harm in patients with SARS-COV-1 and Middle Eastern Respiratory Syndrome (MERS) infection.
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页数:12
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