雷姆迪西维尔:在特殊人群中治疗COVID-19
Emad Molaei1, Ali Molaei2, A Wallace Hayes3,4
1Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Naunyn-Schmiedeberg's archives of pharmacology
|January 5, 2024
概括
雷姆迪西维尔 (RDV) 对COVID-19有效,缩短住院时间并降低死亡率. 虽然它通常是安全的,但在患有功能障碍的患者中需要谨慎使用.
科学领域:
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
- 关键护理医学 关键护理医学
背景情况:
- 雷姆德西维尔 (RDV) 是适度至严重的COVID-19的主要抗病毒治疗方法.
- 关于RDV在老年人,儿童和孕妇等特定人群的疗效和安全性的数据有限.
研究的目的:
- 评估RDV在不同COVID-19患者亚群中的有效性和安全性.
- 评估RDV对疾病进展,/肝功能障碍以及特定人口统计学因素的影响.
主要方法:
- 来自Embase,Scopus和PubMed的英语语言研究的系统审查.
- 包括39项临床试验,队列和病例系列,涉及使用RDV治疗的特定COVID-19亚群.
主要成果:
- 一般来说,RDV可以减少住院时间,呼吸道并发症和死亡率.
- 观察到的不良反应主要是轻微的肝脏和功能异常.
- 在大多数组中,RDV是有效的,在患有功能障碍的患者中,有所例外.
结论:
- 在各种COVID-19患者群体中,RDV显示出良好的疗效和安全性.
- 为了优化治疗,需要对特定亚群进行进一步的研究,包括RCT.
- 建议在患有功能障碍的患者使用RDV时谨慎使用.
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