瑞德西韦治疗住院儿童COVID-19的疗效和安全性:一项回顾性病例对照研究

IF 2.8 3区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Therapeutics and Clinical Risk Management Pub Date : 2023-11-23 eCollection Date: 2023-01-01 DOI:10.2147/TCRM.S432565
Ahmed Khalil, Asmaa Mohamed, Manasik Hassan, Samar Magboul, Hossamaldein Ali, Ahmed Salah Elmasoudi, Khaled Ellithy, Mohammad Qusad, Abdulla Alhothi, Eman Al Maslamani, Mohammed Al Amri, Ashraf Soliman
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摘要

导语:虽然大多数儿童会出现轻微的2019冠状病毒病(COVID-19)感染,但少数病例会发展为严重或危重疾病。本研究旨在评估瑞德西韦(Remdesivir, RDV)治疗中至重度儿童COVID-19的疗效和安全性,加强临床决策,扩大我们对儿科患者抗病毒治疗的认识。方法:选取60例患者,其中38例接受RDV治疗,22例作为对照组。通过电子医院记录回顾性收集2021年1月至2022年1月的数据。结果:报告的主要临床症状以上呼吸道感染为主(93.3%),提示呼吸道受累。其他症状包括中枢神经系统(11.7%)和胃肠道(10.0%)。在纳入研究的38例RDV组中,与使用RDV相关的不良反应:低白蛋白血症19例(50.0%),贫血18例(47.4%),是最常见的不良反应。RDV组中只有1例出现非RDV相关性死亡,但临床诊断不同。结果显示,RDV治疗在儿科患者中耐受性良好,住院时间和氧气治疗与对照组相比无显著差异,P值分别为0.2、0.18。结论:结果表明,瑞德西韦可能是2019冠状病毒病(COVID-19)儿童的安全治疗选择。
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Efficacy and Safety of Remdesivir in Hospitalized Pediatric COVID-19: A Retrospective Case-Controlled Study.

Introduction: While most children experience mild coronavirus disease 2019 (COVID-19) infections, a minority of cases progress to severe or critical illness. This study aimed to assess the efficacy and safety of Remdesivir (RDV) therapy in children with moderate to severe COVID-19, enhancing clinical decision-making and expanding our understanding of antiviral treatments for pediatric patients.

Methods: The study included 60 patients, 38 receiving RDV treatment and 22 serving as the control group. Data was collected retrospectively from January 2021 to January 2022 through electronic hospital records.

Results: Regarding the main clinical symptoms reported, most patients experienced Upper Respiratory Tract Infections (93.3%), indicating respiratory involvement. Additional symptoms included Central Nervous System (11.7%) and Gastrointestinal (10.0%). Among the 38 cases in the RDV group included in the study, the adverse effects associated with using RDV: Hypoalbuminemia in 19 cases (50.0%) and anemia in 18 cases (47.4%), making them the most common adverse effects. Only one case in the RDV group experienced non-RDV-related death with a different clinical diagnosis. The results showed that RDV treatment was well-tolerated in pediatric patients, with no significant differences in hospital stay and oxygen treatment compared to the control group with P values (0.2, 0.18), respectively.

Conclusion: The outcomes indicate that Remdesivir may represent a safe and therapeutic choice for children with coronavirus disease 2019 (COVID-19).

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来源期刊
Therapeutics and Clinical Risk Management
Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.30
自引率
3.60%
发文量
139
审稿时长
16 weeks
期刊介绍: Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.
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