Mymensingh医学院回顾性研究:
伊维菌素优于COVID-19患者的护理标准
最近,由日本和孟加拉国领导的研究小组
在COVID-19治疗单元完成了一项回顾性研究,涉及325名连续感染SARS-CoV-2的患者
2020年4月至2020年6月在孟加拉国Mymensingh(MMCH)举行。
研究结果
于9月24日在线发表在同行评审的《 Archovos de Bronconeumologia》中。
共有248名成人患者
不受任何病理状况感染SARS-CoV2
其中115人接受了伊维菌素加标准治疗
而133名受试者仅接受了标准护理。
其余的病人
共有77名18岁以下的人从其他机构转移过来,并接受了不同的护理管理方法。
学习团队
比较了包括伊维菌素(N = 115)和护理标准(N = 133)在内的本研究的两个方面
1)SARS-CoV-2阴性的时间,
2)疾病进展(例如,疾病从肺炎恶化为严重的呼吸窘迫),
3)住院时间,以及
4)死亡率。
伊维菌素治疗
不会产生异常症状(例如不良安全事件)。
尽管没有伊维菌素患者表现出进行性病理(例如肺炎或心血管并发症),
护理组标准的9.8%患上肺炎
1.5%患有缺血性中风。
虽然只有
伊维菌素组的9.6%最终需要吸入氧气,
护理组标准的45.9%属于此类-显着和实质性差异。
This observation:
held up for the development of respiratory distress as well (2.6% ivermectin vs. 15.8% standard of care group).
Moreover, of those patients needing antibiotic treatment,
superiority of ivermectin:
was clear with 15.7% of the ivermectin groups vs. 60.2% of the standard of care group.
Patients that were given ivermectin didn’t end up in the ICU nearly as much (0.9% ivermectin vs. 8.3% standard of care).
Finally,those patients in the ivermectin arm got better faster.
In a striking observation,those administered ivermectin
became COVID-19 negative in a median of 4 days vs. 15 days for the standard of care group, at 95% CL, 8.97-10.59,P.
Although the researchers acknowledge randomized, multicenter study could strengthen the evidence, they’re clear that ivermectin should be considered as a first-line therapy as part of a COVID-19 containment strategy.