Publication: Pharmacoepidemiological research of COVID-19 in the Russian Federation EGIDA-2020 Фармакоэпидемиологическое исследование COVID-19 в Россиискои Федерации ЭГИДА-2020
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2021
Авторы
Pshenichnaya, N. Yu.
Kareva, E. N.
Leneva, I. A.
Bulgakova, V. A.
Petrov, V. A.
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© 2021 Consilium Medikum. All rights reserved.Background. During 2020 a several antiviral drugs were recommended in Russia, therefore issue of COVID-19 antiviral therapy (AVT) remains open. Aim. An analysis of coronavirus infection in Russia and evaluation of different AVT regimens effectiveness. Materials and methods. The study involved a retrospective analysis of 1082 patient records with laboratory-confirmed COVID-19 in 17 regions of Russia. The number of men and women was equal, mean age - 48.7±18.1 (median - 50). Patients with moderate COVID-19 (85%) versus mild COVID-19 (15%) were characterized by higher age (median - 54 vs 21 years; p<0.001), higher body mass index (27.8 vs 23.4; p<0.001), prevalence of chronic diseases (75.3% vs 8.5%; p<0.001), including circulatory system diseases (37.8%). Moderate COVID-19 characterized higher intoxication (10.8±6.1 vs 4.2±2.7 days; p<0.001) and catarrhal symptoms duration (10.2±5.4 vs 6.1±4.1 days; p<0.001). Results. During hospitalization 92% of the patients received AVT, 77% - antibiotics, and 16% - corticosteroids. Umifenovir therapy resulted in a significant reduction of intoxication (8.7±5.5 vs 11.7±5.5 days; p<0.001) and catarrhal symptoms duration (8.8±5.1 vs 12.0±4.9 days; p<0.001) compared to the group without AVT. The usage of INF reduced intoxication symptoms compared with the group without AVT (8.9±7.5 vs 11.7±5.5; p<0.05). Therapy with hydroxychloroquine, imidazolylethanamide pentandioic acid, and lopinavir + ritonavir combination did not affect the course of COVID-19. Most of adverse reactions were related to antibiotics. Conclusion. Umifenovir therapy and inclusion of interferon in AVT regimens was associated improvement in the clinical manifestation of the disease among patients.
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Pharmacoepidemiological research of COVID-19 in the Russian Federation EGIDA-2020 Фармакоэпидемиологическое исследование COVID-19 в Россиискои Федерации ЭГИДА-2020 / Pshenichnaya, N.Yu. [et al.] // Terapevticheskii Arkhiv. - 2021. - 93. - № 11. - P. 1306-1315. - 10.26442/00403660.2021.11.201206