在养老院机构口服治疗后COVID-19反弹:病例系列

Alex P. Betrosian , Stavros M. Christou , Stavroula Kalathaki
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引用次数: 0

摘要

奈玛特韦片/利托那韦片组合包装(nirmatrevir/利托那韦)是一种两种药物方案,每天两次,为期5天。它被授权紧急用于有冠状病毒疾病(新冠肺炎)进展风险的非住院患者。然而,最近发现在完成疗程后2–8天症状复发。在某些情况下,患者在直接的SARS-CoV-2病毒检测中呈阴性,然后再次检测呈阳性(新冠肺炎反弹)。这种病很轻,不需要额外的抗病毒治疗。基于轶事病例报告和很少的研究,数据有限。根据现有数据,目前尚不清楚反弹症状是由于药物治疗、耐药性、再次感染还是免疫力受损。
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COVID-19 rebound after oral treatment in a nursing home facility: A case series

Paxlovid (nirmatrevir/ritonavir) is a 2 drug regimen taken together twice daily for 5 days was authorized for emergency use for nonhospitalized patients who are at risk for the progression of coronavirus disease (COVID-19). However, recurrence of symptoms 2–8 days after completing the treatment course has been recently recognized. In some cases patients tested negative on a direct SARS-CoV-2 viral test and then tested positive again (rebound COVID-19). The disease is mild and requires no additional antiviral treatment. Data are limited based on anecdotal case reports and few studies. According to the available data it is unclear if rebound symptoms are due to the drug treatment, drug resistance, re-infection or impaired immunity.

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