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Incidence of COVID-19 in patients under chronic treatment with hydroxychloroquine
Francisco Tejada Cifuentes1, Ángeles Lloret Callejo1, María José Tirado Peláez1
1Gerencia de Atención Integrada de Albacete, Albacete, Spain.
Insights
Chronic hydroxychloroquine use did not increase Covid-19 incidence in a large observational study. The study found no link between hydroxychloroquine and Covid-19 infection rates.
Area of Science:
- Infectious Diseases
- Pharmacology
- Epidemiology
Background:
- Hydroxychloroquine has been investigated for potential therapeutic roles in viral infections.
- Understanding the impact of chronic medication use on infectious disease incidence is crucial for patient management.
Purpose of the Study:
- To investigate the incidence of Coronavirus Disease 2019 (Covid-19) among individuals with a history of chronic hydroxychloroquine use.
Main Methods:
- A cross-sectional, retrospective, observational, multicenter study was conducted.
- Data from 3817 participants with valid records were analyzed.
- Covid-19 infection was determined through clinical, serological, or polymerase chain reaction (PCR) diagnosis.
Main Results:
- The overall incidence of Covid-19 was 4.45% (169 cases).
- Of those infected, 7.1% died and 18.9% required hospitalization.
- Pre-existing respiratory conditions were associated with increased Covid-19 incidence (P < .05).
- Maculopathy occurred in 5.3% of patients, correlating significantly with hydroxychloroquine dosage (P < .05).
Conclusions:
- This study found no statistically significant relationship between the chronic use of hydroxychloroquine and the incidence of Covid-19.
Objective:
To analyze the incidence of Covid-19 in patients who are chronic users of hydroxychloroquine.
Patients And Methods:
Cross-sectional retrospective observational multicenter study in health areas and districts from Castilla La-Mancha and Andalucia. Of the 4451 participants included in the first recruitment, 3817 with valid data were selected. The main variable of the study is the presence or absence of Covid-19 infection by clinical, serological or polymerase chain reaction diagnosis. Sociodemographic and clinical variables and treatment and concomitant comorbidities were recorded.
Results:
169 (4,45%) patients had Covid-19 infection, of which 12 (7.1 %) died and 32 (18.9%) required hospital admission. Previous respiratory pathology was related to Covid-19 infection (P < .05). Maculopathy appears in 5.3% of patients and is significantly related to the dose of hydroxychloroquine consumed (P < .05).
Conclusion:
There is no relationship between chronic use of hydroxychloroquine and the incidence of Covid-19.
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