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COVID-19 and corticosteroids: a narrative review
Gaber El-Saber Batiha1, Ali I Al-Gareeb2, Hebatallah M Saad3
1Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour, 22511, AlBeheira, Egypt. gaberbatiha@gmail.com.
Corticosteroid therapy effectively manages COVID-19 by reducing acute respiratory distress syndrome (ARDS) and cytokine storm, despite potential impacts on viral clearance. This treatment is crucial for critical patients, lowering complication risks.
Area of Science:
- Medical Science
- Pharmacology
Background:
- Corticosteroid therapy has shown efficacy in managing severe acute respiratory syndrome (SARS), Middle East Respiratory Syndrome (MERS), and coronavirus disease 2019 (COVID-19).
- These potent anti-inflammatory drugs can mitigate the risk of acute respiratory distress syndrome (ARDS) in viral pneumonia, including COVID-19.
Purpose of the Study:
- To evaluate the effectiveness of corticosteroid therapy in managing COVID-19.
- To assess the role of corticosteroids in preventing complications like ARDS and cytokine storm.
Main Methods:
- Review of existing literature on corticosteroid use in viral respiratory illnesses.
- Analysis of the anti-inflammatory mechanisms of corticosteroids in the context of COVID-19.
Main Results:
- Corticosteroids inhibit cytokine storm and multi-organ damage, reducing the risk of ARDS in COVID-19 patients.
- Therapy, particularly with dexamethasone and methylprednisolone, reduces COVID-19 severity and complications like acute lung injury.
Conclusions:
- Corticosteroid therapy is an effective management strategy for COVID-19, reducing complication risks.
- These agents are beneficial for COVID-19 patients with comorbidities such as COPD, rheumatoid arthritis, and IBD.
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