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Published on: February 16, 2022
Cochrane corner: convalescent plasma or hyperimmune immunoglobulin for people with COVID-19
Chukwudi Arnest Nnaji1,2, Charles Shey Wiysonge1,2,3
1Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
Insights
Convalescent plasma therapy for COVID-19 shows limited evidence of effectiveness and safety. Further research is crucial, especially within African contexts, to assess its potential and practical implications for national health systems.
Area of Science:
- Infectious Diseases
- Immunology
- Public Health
Background:
- The global spread of COVID-19 necessitates urgent identification of effective treatments.
- Convalescent plasma and hyperimmune immunoglobulin are being explored as potential therapies for COVID-19.
- A Cochrane rapid review assessed the evidence for these treatments.
Purpose of the Study:
- To highlight and contextualize the findings of a Cochrane rapid review on convalescent plasma or hyperimmune immunoglobulin for COVID-19 treatment.
- To evaluate the current evidence regarding the effectiveness and safety of convalescent plasma therapy.
Main Methods:
- The study synthesized findings from a Cochrane rapid review.
- The review included eight studies evaluating convalescent plasma or hyperimmune immunoglobulin transfusion for COVID-19.
- Evidence quality and consistency of outcomes were assessed.
Main Results:
- Limited and low-certainty evidence exists for the effectiveness and safety of convalescent plasma in treating COVID-19 patients.
- Included studies had small participant numbers, low quality, and inconsistent outcome reporting.
- Convalescent plasma may offer a potential therapeutic option, particularly for African countries.
Conclusions:
- There is a critical need for more robust research on convalescent plasma therapy for COVID-19.
- Further investigation is imperative within African contexts to determine efficacy, safety, and health system feasibility.
- Understanding practical implications for blood transfusion services is essential for regional implementation.
Abstract:
As the novel coronavirus continues to spread globally and across Africa, efforts are being accelerated to identify effective preventive and therapeutic measures to mitigate its burden. Convalescent plasma and hyperimmune immunoglobulin are being considered as potential therapeutic options for the coronavirus disease 2019 (COVID-19). We highlight and contextualize the findings of a recent Cochrane rapid review that evaluated the effectiveness and safety of convalescent plasma or hyperimmune immunoglobulin transfusion in the treatment of people with COVID-19. From the eight studies it included, the review found limited and low-certainty evidence on the effectiveness and safety of convalescent plasma therapy in patients with COVID-19. The evidence was limited by the small number of participants and low-quality of included studies, as well as the inconsistency of outcome measures and reporting across studies. As African countries brace for the further spread of the virus, while exploring potential therapeutic options to mitigate its morbidity and mortality at peak, convalescent plasma transfusion may offer a therapeutic ray of hope for the continent. Considering the limited evidence of the effectiveness and safety in the treatment of COVID-19, it is imperative for this therapy to be investigated within African contexts to ascertain not only its effectiveness and safety, but also its practical implications within the capacity of national blood transfusion services and health systems in the region.
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