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Published on: September 24, 2020
Medical Management of COVID-19: Evidence and Experience
Subhasish Bose1, Sreedhar Adapa2, Narothama Reddy Aeddula3
1Division of Nephrology, Department of Internal Medicine, University of Virginia, Lynchburg, VA 24501-1167, USA.
Insights
Currently, no definitive cure exists for Coronavirus disease 2019 (COVID-19). This review summarizes experimental and supportive therapies for COVID-19 patients, addressing confusion among healthcare professionals regarding treatment options.
Area of Science:
- Infectious Diseases
- Virology
- Pharmacology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has resulted in millions of global infections and deaths.
- Despite ongoing research and emergency use authorizations (e.g., remdesivir), a conclusively proven curative therapy for COVID-19 remains elusive.
- Mixed results from drug trials and observational studies have led to confusion among healthcare professionals (HCPs) regarding optimal treatment strategies.
Purpose of the Study:
- To collate and summarize current treatment strategies for COVID-19 patients.
- To discuss pharmacologic and other therapies for COVID-19, including experimental and supportive care options.
- To provide clarity for healthcare professionals managing COVID-19 patients with varying illness severity.
Main Methods:
- This article is a review of existing literature and clinical trial data.
- It synthesizes information on pharmacological and non-pharmacological interventions for COVID-19.
- The review focuses on therapies for patients with mild to severe illness.
Main Results:
- The review highlights the lack of a definitive cure for COVID-19 as of June 2020.
- It discusses remdesivir's emergency use authorization (EUA) but acknowledges mixed results from other drug trials.
- The article emphasizes the need for continued research into effective COVID-19 treatments.
Conclusions:
- Effective and universally accepted treatment protocols for COVID-19 are still under development.
- A comprehensive understanding of available experimental and supportive therapies is crucial for managing COVID-19 patients.
- Further clinical trials are necessary to establish definitive therapeutic guidelines for COVID-19.
Abstract:
Coronavirus disease 2019 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and this infectious disease is termed COVID-19 in short. On a global scale, as of June 1, 2020, the World Health Organization (WHO) published statistics of 6,057,853 infected patients and 371,166 deaths worldwide. Despite reported observational data about the experimental use of certain drugs, there is no conclusively proven curative therapy for COVID-19 as of now; however, remdesivir received emergency use authorization (EUA) by the Food and Drug Administration (FDA) recently for use in patients hospitalized with COVID-19. There are several ongoing clinical trials related to the pharmacological choices of therapy for COVID-19 patients; however, drug trials related to observational studies so far have yielded mixed results and therefore have created a sense of confusion among healthcare professionals (HCPs). In this review article, we seek to collate and provide a summary of treatment strategies for COVID-19 patients with a variable degree of illness and discuss pharmacologic and other therapies intended to be used either as experimental medicine/therapy or as part of supportive care in complicated cases of COVID-19.
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