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.

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