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10.1111/jcpt.13305

http://scihub22266oqcxt.onion/10.1111/jcpt.13305
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33128482!ä!33128482

suck abstract from ncbi


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pmid33128482      J+Clin+Pharm+Ther 2021 ; 46 (2): 454-459
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  • Observational study of the effects of Favipiravir vs Lopinavir/Ritonavir on clinical outcomes in critically Ill patients with COVID-19 #MMPMID33128482
  • Kocayigit H; Ozmen Suner K; Tomak Y; Demir G; Yaylaci S; Dheir H; Guclu E; Erdem AF
  • J Clin Pharm Ther 2021[Apr]; 46 (2): 454-459 PMID33128482show ga
  • WHAT IS KNOWN AND OBJECTIVES: In November 2019, several patients were diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Wuhan, China. So far, there are no specific treatments with proven high efficacy in patients with SARS-CoV-2. Presently, several drugs, such as hydroxychloroquine, ribavirin, favipiravir (FVP), lopinavir/ritonavir (LPV/r), remdesivir and oseltamivir, have been suggested as effective treatments for SARS-CoV-2. The aim of this study was to describe the clinical experience with FPV and LPV/r in critically ill patients with COVID-19 at Sakarya University Education and Research Hospital. METHODS: The study included 107 consecutive patients who had a laboratory confirmation of COVID-19 and were admitted to the intensive care unit (ICU) between 19 March and 19 May 2020. Follow-up continued through 30 May 2020 when the last observed patients were discharged. RESULTS AND DISCUSSION: Of the 107 patients, 65 received FPV (Group FPV) and 42 received LPV/r (Group LPV/r). The two groups were similar in terms of demographic data and clinical findings. 43 (66.2%) of the 65 patients in the FPV group and 23 (54.8%) of the 42 patients in the LPV/r group died (p = 0.237). The median ICU stay was 6.6 (IQR, 3-10) days in the FPV group and 9 (IQR, 6-16) days in the LPV/r group, which was a statistically significant difference (p = 0.010). WHAT IS NEW AND CONCLUSION: The length of hospital stay was significantly lower in the FVP group compared to the LPV/r group among patients who were discharged from the ICU. Although the analysis was done with a limited number of patients and the observed difference in mortality rate is of some concern, FVP treatment may be more beneficial than LPV/r in terms of effective use in the ICU.
  • |*Amides/administration & dosage/adverse effects[MESH]
  • |*COVID-19 Drug Treatment[MESH]
  • |*COVID-19/diagnosis/mortality/physiopathology[MESH]
  • |*Critical Illness/mortality/therapy[MESH]
  • |*Lopinavir/administration & dosage/adverse effects[MESH]
  • |*Pyrazines/administration & dosage/adverse effects[MESH]
  • |*Ritonavir/administration & dosage/adverse effects[MESH]
  • |Antiviral Agents/administration & dosage/adverse effects[MESH]
  • |Drug Combinations[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]
  • |Length of Stay/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mortality[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]
  • |Treatment Outcome[MESH]


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