对疑似COVID-19患者进行氯喹门诊治疗,以减轻感染相关症状

Q4 Medicine Medicina Interna de Mexico Pub Date : 2021-06-10 DOI:10.24245/mim.v37i3.4798
G. Lugo-Zamudio, L. B. Navarrete-Martínez, C. Salazar, F. G. Reyes-Rodríguez, L. Guerrero-Beltrán, D. Arellano-Álvarez
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引用次数: 0

摘要

目的:通过减少与病毒感染相关的临床表现来评估门诊疑似COVID-19患者给予氯喹治疗是否有临床改善。材料与方法:对2020年6月1日至7月30日在墨西哥华雷斯医院呼吸急诊科就诊的门诊使用氯喹治疗的疑似COVID-19患者进行实验研究。对病人进行了电话随访,以了解他们的健康状况。结果:纳入50例患者,其中女性36例。平均年龄41.1岁;最常见的症状为发热、咳嗽和咽痰;最持久的症状为咳嗽(50例中有31例)。此外,24例患者SARS-CoV-2呈阳性,并完成了氯喹治疗,记录了持续的腹泻、吞咽困难以及恶心、食欲不振和头痛等症状。没有病人需要在急诊室或住院时进行第二次评估。结论:临床证据表明,如果在发病后5天内给予氯喹,可能有助于减轻与SARS-CoV-2相关的症状;需要进行对照研究来证实这一可能性。
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Ambulatory treatment with chloroquine in patients with suspicion of COVID-19 for the reduction of symptoms associated to the infection
OBJECTIVE: To establish whether there is clinical improvement with the administration of chloroquine as outpatient treatment in patients suspected of COVID-19 assessed by the reduction of clinical manifestations associated with viral infection. MATERIALS AND METHODS: An experimental study was made in patients suspected of COVID-19 who were attended in the respiratory emergency service of the Hospital Juarez de Mexico from June 1st to July 30th, 2020, who received outpatient treatment with chloroquine. The patients were followed up by telephone to find out their health condition. RESULTS: Fifty patients were included, of which 36 were female. The mean age was 41.1 year;the most frequent symptoms were fever, cough and odynophagia;the most persistent symptom was cough (31 out of 50). Also, 24 patients were positive for SARS-CoV-2 and completed their treatment with chloroquine, with persistent descricough;diarrhea, dysgeusia, and symptoms such as nausea, hypogeusia and headache were documented. No patient required a second evaluation in the emergency room or hospital admissions. CONCLUSIONS: Clinical evidence suggests that chloroquine may be useful in reducing the symptoms associated with SARS-CoV-2 if it is administered in the first five days of the onset of the disease;controlled studies are required to confirm this possibility.
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来源期刊
Medicina Interna de Mexico
Medicina Interna de Mexico Medicine-Internal Medicine
CiteScore
0.30
自引率
0.00%
发文量
137
期刊介绍: La revista Medicina Interna de México es el órgano oficial del Colegio de Medicina Interna de México Reserva de Titulo de la Dirección General del Derecho de Autor (SEP) número 04-2001-112110545900.-102 certificado de Licitud de Titulo número 11967 y Certilicado de Licitud de Contenido de la Comisión Catificadora de Publicaciones y Revistas Ilustradas (SeGob) número 8375. AutorIzada por SEPOMEX como Publicación Penódica Registro número PPO9- 0884
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