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2020 ; 28
(2
): 507-516
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The clinical value of two combination regimens in the Management of Patients
Suffering from Covid-19 pneumonia: a single centered, retrospective,
observational study
#MMPMID32562159
Vahedi E
; Ghanei M
; Ghazvini A
; Azadi H
; Izadi M
; Panahi Y
; Fathi S
; Salesi M
; Saadat SH
; Ghazale AH
; Rezapour M
; Mozafari A
; Zand N
; Parsaei MR
; Ranjkesh MH
; Jafari R
; Movaseghi F
; Darabi E
Daru
2020[Dec]; 28
(2
): 507-516
PMID32562159
show ga
BACKGROUND: There is no identified pharmacological therapy for COVID-19 patients,
where potential therapeutic strategies are underway to determine effective
therapy under such unprecedented pandemic. Therefore, combination therapies may
have the potential of alleviating the patient's outcome. This study aimed at
comparing the efficacy of two different combination regimens in improving
outcomes of patients infected by novel coronavirus (COVID-19). METHODS: This is a
single centered, retrospective, observational study of 60 laboratory-confirmed
COVID-19 positive inpatients (?18 years old) at two wards of the Baqiyatallah
Hospital, Tehran, Iran. Patient's data including clinical and laboratory
parameters were recorded. According to the drug regimen, the patients were
divided into two groups; group I who received regimen I consisting azithromycin,
prednisolone, naproxen, and lopinavir/ritonavir and group II who received regimen
II including meropenem, levofloxacin, vancomycin, hydroxychloroquine, and
oseltamivir. RESULTS: The oxygen saturation (SpO2) and temperature were
positively changed in patients receiving regimen I compared to regimen II
(P?=?0.013 and P?=?0.012, respectively). The serum level of C-reactive protein
(CRP) changed positively in group I (P?0.001). Although there was a significant
difference in platelets between both groups (75.44 vs 51.62, P?0.001), their
change did not clinically differ between two groups. The findings indicated a
significant difference of the average length of stay in hospitals (ALOS) between
two groups, where the patients under regimen I showed a shorter ALOS (6.97 vs
9.93, P?=?0.001). CONCLUSION: This study revealed the beneficial effect of the
short-term use of low-dose prednisolone in combination with azithromycin,
naproxen and lopinavir/ritonavir (regimen I), in decreasing ALOS compared to
regimen II. Since there is still lack of evidence for safety of this regimen,
further investigation in our ongoing follow-up to deal with COVID-19 pneumonia is
underway. Graphical abstract.
|*COVID-19 Drug Treatment
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Azithromycin/administration & dosage
[MESH]
|COVID-19/complications
[MESH]
|Drug Combinations
[MESH]
|Drug Therapy, Combination
[MESH]
|Female
[MESH]
|Hospitalization/*statistics & numerical data
[MESH]