在 COVID-19 大流行期间,从免疫调节剂和其他疗法中汲取了哪些临床和研究经验教训?

IF 3.5 3区 医学 Q1 CRITICAL CARE MEDICINE Current Opinion in Critical Care Pub Date : 2024-10-01 Epub Date: 2024-06-19 DOI:10.1097/MCC.0000000000001184
Daniel A Sweeney, Pedro Póvoa
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引用次数: 0

摘要

审查目的:2019年冠状病毒病(COVID-19)大流行期间免疫调节剂和其他疗法的开发和使用为这些疗法以及医学研究人员和临床医生如何应对下一次大流行提供了一些经验教训:用于治疗传染病的新疗法或改变用途的疗法,尤其是免疫调节剂疗法,总是与固有的患者风险相关联,COVID-19 大流行期间的情况就是如此。同时开发和使用有效的抗菌疗法,并密切监测继发感染,对患者安全和治疗成功至关重要。在 COVID-19 大流行期间,免疫调节剂和其他疗法的开发进一步凸显了对所有潜在疗法保持高标准医学研究的重要性,大型双盲安慰剂对照试验和同行评审是传播医学成果的最佳模式,而不是社交媒体渠道。重要的是,研究人员和临床医生要从中吸取经验教训,坚持尝试真正的临床治疗,同时开展旨在开发确切治疗方法的高质量研究。
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What are the clinical and research lessons learned from immunomodulators and other therapies during the COVID-19 pandemic?

Purpose of review: The development and use of immunomodulators and other therapies during the coronavirus disease 2019 (COVID-19) pandemic provided several lessons with respect to these therapies, and to how medical researchers and clinicians should approach the next pandemic.

Recent findings: New or repurposed therapies, particularly immunomodulator treatments, for the treatment of an infectious disease will always be associated with inherent patient risk and this was the case during the COVID-19 pandemic. The concomitant development and use of effective antimicrobial therapies along with close monitoring for secondary infections is paramount for patient safety and treatment success. The development of immunomodulators and other therapies during the COVID-19 pandemic further highlighted the importance of maintaining high standards for medical research for all potential treatment with large double-blind placebo-controlled trials and peer review being the best mode of disseminating medical results rather than social media outlets.

Summary: The next new and emerging pandemic will undoubtedly share many of the same challenges posed by COVID-19. It is important that researchers and clinicians learn from this experience, adhere to tried and true clinical care, all the while conducting high quality research aimed at developing definitive treatments.

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来源期刊
Current Opinion in Critical Care
Current Opinion in Critical Care 医学-危重病医学
CiteScore
5.90
自引率
3.00%
发文量
172
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​​Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.
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