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10.3399/bjgp20X711941

http://scihub22266oqcxt.onion/10.3399/bjgp20X711941
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32571773!7311109!32571773
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suck abstract from ncbi


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pmid32571773      Br+J+Gen+Pract 2020 ; 70 (696): e444-e449
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  • Oseltamivir for coronavirus illness: post-hoc exploratory analysis of an open-label, pragmatic, randomised controlled trial in European primary care from 2016 to 2018 #MMPMID32571773
  • Coenen S; van der Velden AW; Cianci D; Goossens H; Bongard E; Saville BR; Gobat N; de Paor M; Ieven M; Verheij TJ; Butler CC
  • Br J Gen Pract 2020[Jul]; 70 (696): e444-e449 PMID32571773show ga
  • BACKGROUND: Patients infected with the novel coronavirus (SARS-CoV-2) are being treated empirically with oseltamivir, but there is little evidence from randomised controlled trials to support the treatment of coronavirus infections with oseltamivir. AIM: To determine whether adding oseltamivir to usual care reduces time to recovery in symptomatic patients who have tested positive for coronavirus (not including SARS-CoV-2). DESIGN AND SETTING: Exploratory analysis of data from an open-label, pragmatic, randomised controlled trial during three influenza seasons, from 2016 to 2018, in primary care research networks, in 15 European countries. METHOD: Patients aged >/=1 year presenting to primary care with influenza-like illness (ILI), and who tested positive for coronavirus (not including SARS-CoV-2), were randomised to usual care or usual care plus oseltamivir. The primary outcome was time to recovery defined as a return to usual activities, with minor or absent fever, headache, and muscle ache. RESULTS: Coronaviruses (CoV-229E, CoV-OC43, CoV-KU1 and CoV-NL63) were identified in 308 (9%) out of 3266 randomised participants in the trial; 153 of these were allocated to usual care and 155 to usual care plus oseltamivir; the primary outcome was ascertained in 136 and 147 participants, respectively. The median time to recovery was shorter in patients randomised to oseltamivir: 4 days (interquartile range [IQR] 3-6) versus 5 days (IQR 3-8; hazard ratio 1.31; 95% confidence interval = 1.03 to 1.66; P = 0.026). CONCLUSION: Primary care patients with ILI testing positive for coronavirus (not including SARS-CoV-2) recovered sooner when oseltamivir was added to usual care compared with usual care alone. This may be of relevance to the primary care management of COVID-19.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antiviral Agents/*therapeutic use[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Coronavirus Infections/*drug therapy/epidemiology/virology[MESH]
  • |Drug Therapy, Combination[MESH]
  • |Europe[MESH]
  • |Female[MESH]
  • |Fever/virology[MESH]
  • |Headache/virology[MESH]
  • |Humans[MESH]
  • |Influenza, Human/*drug therapy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Oseltamivir/*therapeutic use[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/drug therapy/epidemiology/virology[MESH]
  • |Time Factors[MESH]
  • |Treatment Outcome[MESH]


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