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10.4103/ijmm.IJMM_20_298

http://scihub22266oqcxt.onion/10.4103/ijmm.IJMM_20_298
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32719218!7706820!32719218
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suck abstract from ncbi


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pmid32719218      Indian+J+Med+Microbiol 2020 ; 38 (1): 117-123
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  • Safety and efficacy of tocilizumab in the treatment of severe acute respiratory syndrome coronavirus-2 pneumonia: A retrospective cohort study #MMPMID32719218
  • Patel A; Shah K; Dharsandiya M; Patel K; Patel T; Patel M; Reljic T; Kumar A
  • Indian J Med Microbiol 2020[Jan]; 38 (1): 117-123 PMID32719218show ga
  • BACKGROUND: Cytokine release storm (CRS) in severe acute respiratory syndrome coronavirus-2 (SARS CoV-2) is thought to be the cause for organ damage and death which is independent of the actual viral burden. Tocilizumab (TCZ), an interleukin-6 receptor antagonist, is approved for the treatment of CRS. We describe the efficacy and safety of TCZ in SARS CoV-2 pneumonia. METHODS: This retrospective study was conducted at a tertiary care hospital from April 20 2020 to May 21 2020. The primary endpoint was the cumulative incidence of a composite of either need for admission to the intensive care unit (ICU) with invasive mechanical ventilation or death. Safety outcomes included an increase in liver transaminases and/or evidence of infection. RESULTS: A total of 20 patients received TCZ during the study period. The median age was 54 years (95% confidence interval [CI] 47-63). About 85% of the patients were male. Nearly 70% of the patients had at least one comorbidity. About 55% required ICU admission. The median duration of ICU stay was 11 days (95% CI: 3-13 days). The cumulative incidence of the requirement for mechanical ventilation, clinical improvement and mortality was 11% (95% CI: 0.03%-1%), 74% (95% CI 37%-89%) and 25% (95% CI: 11%-63%), respectively. There was no difference in outcomes according to age, gender or computed tomography severity score. Asymptomatic transaminitis was the most common drug reaction (55%), and one patient developed bacteraemia. CONCLUSIONS: TCZ is likely a safe and effective modality of treatment for improving clinical and laboratory parameters of SARS CoV-2 patients with a reduction in ICU stay and ventilatory care need.
  • |Antibodies, Monoclonal, Humanized/*administration & dosage/*adverse effects[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*drug therapy/mortality[MESH]
  • |Critical Care/statistics & numerical data[MESH]
  • |Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunologic Factors/*administration & dosage/*adverse effects[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*drug therapy/mortality[MESH]
  • |Respiration, Artificial/statistics & numerical data[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Survival Analysis[MESH]
  • |Tertiary Care Centers[MESH]
  • |Transaminases/blood[MESH]


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