Title
Treatment guidelines for COVID-19 infected patients.
Other title
Guías de tratamiento para los pacientes infectados con COVID-19
Date Issued
01 July 2021
Access level
metadata only access
Resource Type
review
Author(s)
Osores-Flores M.
Chachaima-Mar J.
Huerta-Rosario A.
Molina R.A.
Rivera-Torrejón O.
Pinedo-Torres I.
Verona-Mesia B.
Huerta-Rosario M.
Metcalf T.
Publisher(s)
Comunicaciones Cientificas Mexicanas S.A. de C.V.
Abstract
BACKGROUND: New information for potential treatments against SARS-CoV-2 is rapidly increasing. As a result, countries and organizations have begun to release therapeutic guidelines. OBJECTIVE: To provide a synopsis of the recommendations supported in evidence-based guidelines for therapeutic options with potential activity against SARS-CoV-2. METHOD: Rapid systematic review of guidelines and/or protocols that provide interim clinical guidance for COVID-19 disease were extracted from PubMed/Medline, Web of Science, Scopus, Scielo, Google Scholar, and a general Google search. Duplicates were removed and a summary of the proposed interventions was included. A benefit risk analysis was then conducted. RESULTS: Twenty guidelines and/or protocols were selected; the majority of which came from Europe and Latin America. Seventeen interventions were identified and classified into 6 pharmacological groups. Antimalarials, lopinavir/ritonavir and remdesivir were the only agents recommended and supported by clinical trials. The remaining interventions were recommended based on indirect evidence, observational studies, or in vitro studies. CONCLUSIONS: Antimalarials have shown results against COVID-19 with surrogate outcomes and the presence of serious adverse events. We recommend active monitoring of agents with potential efficacy against SARS-CoV-2 and incorporating the results in national guidelines and protocols. Clinical trials should be conducted to show direct benefit with clinically relevant outcomes in various populations.
Start page
509
End page
529
Volume
34
Issue
4
Language
Spanish
OCDE Knowledge area
Enfermedades infecciosas
Sistema respiratorio
Subjects
Scopus EID
2-s2.0-85100111256
Source
Medicina Interna de Mexico
ISSN of the container
01864866
Sources of information:
Directorio de Producción Científica
Scopus