The first data on international multicenter clinical study RheoSTAT-CP0698 on the efficacy and safety of Rheosorbilact® infusion in therapy of pneumonia

Y. Feshchenko, S. Beridze, Dinh Thi Hoa, V. Molodtsov, M. Gumeniuk, N. Gogoreliani, H. I. Sattarov, N. Emukhvari, G. Lupu, Y. Mostovoi, L. Kuryk, Nguyen Thi Thu Anh
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引用次数: 2

Abstract

ABSTRACT. Adequate and effective treatment of severe pneumonia is especially relevant in present situation. The most problematic issue is infusion therapy. The current evidence and guidelines recommend balanced crystalloid infusion for patients with severe pneumonia and sepsis. The composition of Rheosorbilact® provides significant benefits in patients with severe infections, including respiratory infections. According to the results of the randomized open blinded end-point RheoSTAT-CP0698 study, administration of Rheosorbilact® to patients with pneumonia (intravenous infusion at a dose of 200-400 ml/day for 3 days) effectively improves the clinical condition, reduces the manifestations of (multi-) organ failure and endogenous intoxication. Small-volume infusion therapy promotes rapid normalization of circulating blood volume, stabilization of hemodynamics, acid-base, electrolyte and gas composition of the blood, significantly improves saturation and reduces tachypnea. The positive effect of therapy on renal function and inflammation has also been established. This therapy had a favorable safety profile (e. g., it did not lead to fluid overload, pulmonary edema, pleural effusion or other serious side effects, and was not associated with a clinically significant increase in endogenous serum lactate level). The RheoSTAT-CP0698 study substantiates the feasibility of using Rheosorbilact® in the complex treatment of pneumonia.
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国际多中心临床研究RheoSTAT-CP0698首个关于Rheosorbilact®输注治疗肺炎的有效性和安全性的数据
摘要在目前情况下,对严重肺炎进行充分和有效的治疗尤为重要。最大的问题是输液疗法。目前的证据和指南建议对严重肺炎和败血症患者进行平衡的晶体输注。Rheosorbilact®的成分为严重感染(包括呼吸道感染)患者提供了显著的益处。随机开放盲法终点RheoSTAT-CP0698研究结果显示,给予肺炎患者Rheosorbilact®(静脉滴注剂量200- 400ml /天,连续3天)可有效改善临床病情,减少(多)脏器功能衰竭和内源性中毒的表现。小容量输液治疗促进循环血容量快速正常化,稳定血液动力学、酸碱、电解质和气体组成,显著改善饱和度,减少呼吸急促。治疗对肾功能和炎症的积极作用也得到了证实。该疗法具有良好的安全性(例如,它不会导致液体过载、肺水肿、胸腔积液或其他严重副作用,并且与内源性血清乳酸水平的临床显着升高无关)。RheoSTAT-CP0698研究证实了Rheosorbilact®用于肺炎复杂治疗的可行性。
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