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10.1016/j.ekir.2021.06.023

http://scihub22266oqcxt.onion/10.1016/j.ekir.2021.06.023
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34250317!8257403!34250317
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suck abstract from ncbi


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pmid34250317      Kidney+Int+Rep 2021 ; 6 (9): 2305-2315
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  • Use and Safety of Remdesivir in Kidney Transplant Recipients With COVID-19 #MMPMID34250317
  • Buxeda A; Arias-Cabrales C; Perez-Saez MJ; Cacho J; Cabello Pelegrin S; Melilli E; Aladren MJ; Galeano C; Lorenzo I; Mazuecos A; Saura IM; Franco A; Ruiz-Fuentes MDC; Sanchez-Camara LA; Siverio O; Martin ML; Gonzalez-Garcia E; Lopez V; Martin-Moreno PL; Moina I; Moral Berrio E; Moreso F; Portoles JM; Santana-Estupinan R; Zarraga S; Canal C; Sanchez-Alvarez E; Pascual J; Crespo M
  • Kidney Int Rep 2021[Sep]; 6 (9): 2305-2315 PMID34250317show ga
  • INTRODUCTION: Remdesivir has demonstrated antiviral activity against coronavirus, shortening the time to recovery in adults hospitalized with moderate/severe COVID-19. Severe adverse events such as acute kidney injury have been reported. Scant data are available on the use and safety of remdesivir in kidney transplant recipients. METHODS: We present a multicenter cohort study of 51 kidney transplant recipients with COVID-19 treated with remdesivir. Outcomes and safety were assessed. RESULTS: Mean age at diagnosis was 60 years, with a median time since kidney transplant of 4.5 years. Mean time since admission to remdesivir was 2 days. Twenty-eight patients (54.9%) required mechanical ventilation (19 noninvasive). Mortality was 18.9% and markedly higher if aged >/=65 years (45% vs. 3.2% in younger patients). Acute kidney injury was present in 27.7% of patients, but was diagnosed in 50% before treatment. No patients required remdesivir discontinuation because of adverse events. We did not find significant hepatoxicity or systemic symptoms resulting from the drug. CONCLUSION: In our cohort of kidney transplant recipients, remdesivir was well tolerated and safe in renal and hepatic toxicity, but randomized trials are needed to assess its efficacy.
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