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Therapeutic Options for Coronavirus Disease 2019 (COVID-19): Where Are We Now?
Esther Y Golnabi1, James M Sanders1, Meagan L Johns1
1Department of Pharmacy, University of Texas Southwestern Medical Center, Dallas, US.
Purpose Of Review:
Rapidly evolving treatment paradigms of coronavirus disease 2019 (COVID-19) introduce challenges for clinicians to keep up with the pace of published literature and to critically appraise the voluminous data produced. This review summarizes the clinical evidence from key studies examining the place of therapy of recommended drugs and management strategies for COVID-19.
Recent Findings:
The global magnitude and duration of the pandemic have resulted in a flurry of interventional treatment trials evaluating both novel and repurposed drugs targeting various aspects of the viral life cycle. Additionally, clinical observations have documented various stages or phases of COVID-19 and underscored the importance of timing for the efficacy of studied therapies. Since the start of the COVID-19 pandemic, many observational, retrospective, and randomized controlled studies have been conducted to guide management of COVID-19 using drug therapies and other management strategies. Large, randomized, or adaptive platform trials have proven the most informative to guide recommended treatments to-date. Antimicrobial stewardship programs can play a pivotal role in ensuring appropriate use of COVID-19 therapies based on evolving clinical data and limiting unnecessary antibiotics given low rates of co-infection.
Summary:
Given the rapidly evolving medical literature and treatment paradigms, it is recommended to reference continuously updated, curated guidelines from national and international sources. While the drugs and management strategies mentioned in this review represent the current state of recommendations, many therapies are still under investigation to further define optimal COVID-19 treatment.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s11908-021-00769-8.
Insights
This review summarizes clinical evidence for coronavirus disease 2019 (COVID-19) treatments. It highlights findings from key studies to guide clinicians on effective COVID-19 therapies and management strategies.
Area of Science:
- Infectious Diseases
- Clinical Medicine
- Pharmacology
Background:
- The COVID-19 pandemic has spurred extensive research into various treatment strategies.
- Understanding the evolving landscape of COVID-19 therapies is crucial for effective patient management.
- Clinical observations emphasize the importance of treatment timing in relation to COVID-19 disease phases.
Purpose of the Study:
- To review and synthesize clinical evidence on recommended drugs and management strategies for COVID-19.
- To provide clinicians with an updated overview of therapeutic options for COVID-19.
- To critically appraise the voluminous data produced during the pandemic.
Main Methods:
- Systematic review of key interventional treatment trials for COVID-19.
- Analysis of observational, retrospective, and randomized controlled studies.
- Evaluation of evidence from large, randomized, or adaptive platform trials.
Main Results:
- Large-scale trials have been most informative in guiding recommended COVID-19 treatments.
- Antimicrobial stewardship is vital for appropriate use of COVID-19 therapies.
- Many COVID-19 therapies are still under investigation for optimal use.
Conclusions:
- Clinicians must stay updated with rapidly evolving COVID-19 treatment guidelines.
- Referencing continuously updated national and international guidelines is recommended.
- Current recommendations represent the state of knowledge, with ongoing research defining optimal COVID-19 treatment.
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