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189643

Comparative study between the therapeutic effect of Remdesivir versus Hydroxychloroquine in Covid-19 hospitalized patients.

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Medical virology

Abstract

Background: Up till now, no evidence based studies have recommended specific therapeutic modality to treat corona virus disease-19 (COVID-19). Many regimens were tested since the outbreak has started. Among commonly tested drugs are Hydroxychloroquine, an antimalarial agent, which was proposed based on its anti-inflammatory as well as antiviral effects and Remdesivir, an antiviral that showed invivo and invitro activity against the formerly known corona-viruses The Food & Drug Administration (FDA) approved using Remdesivir in the treatment of severe cases of COVID-19. Objectives: To evaluate the effectiveness of Remdesivir versus Hydroxychloroquine against SARS-CoV-2 in terms of infectivity period in hospitalized COVID-19 patients. Methods: Fifty patients that were clinically diagnosed with Covid-19 admitted to Tanta University Isolation Hospital from June - September, 2020 were included in this study and divided into 2 groups.  Group I had Hydroxychloroquine as the main therapeutic agent in their treatment regimen, while group II had the antiviral Remdesivir instead. Laboratory testing involved nasopharyngeal swabbing which was transported immediately to Tanta University Hospital laboratory for Real-time PCR. Results: There was a significant better outcome and shorter infectivity period in group 2 who received the antiviral Remdesivir. Conclusions: Remdesivir showed significant better outcome in COVID-19 hospitalized patients, as it reduced period needed for clinical improvement while administration of Hydroxychloroquine was not associated with better outcome or increased risk to the patients.

DOI

10.21608/mid.2021.85877.1177

Keywords

SARS-CoV-2, Remdesivir, hydroxychloroquine, Real-Time PCR

Authors

First Name

Maii

Last Name

Shams Eldeen

MiddleName

Atef

Affiliation

Assistant professor of Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt.

Email

mai.eldeen@med.tanta.edu.eg

City

-

Orcid

0000-0002-4112-8866

First Name

Mohamed

Last Name

Abdelghafar

MiddleName

Samir

Affiliation

Assistant professor of Anesthesia, Surgical Intensive Care and Pain, Faculty of Medicine, Tanta University. Egypt.

Email

mohamedping@hotmail.com

City

-

Orcid

-

First Name

Hoda

Last Name

Ibrahim

MiddleName

Ali

Affiliation

lecturer of Medical Biochemistry, Faculty of Medicine, Tanta University. Egypt.

Email

hoda.ibrahim@med.tanta.edu.eg

City

-

Orcid

-

First Name

Alshimaa

Last Name

Aboalsoud

MiddleName

-

Affiliation

lecturer of Pharmacology, Faculty of Medicine, Tanta University. Egypt.

Email

alshimaa.taha@med.tanta.edu.eg

City

-

Orcid

-

First Name

Marwa

Last Name

Taha

MiddleName

Samy

Affiliation

Lecturer of Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt.

Email

marwa.taha@med.tanta.edu.eg

City

-

Orcid

0000-0002-5850-8160

Volume

2

Article Issue

4

Related Issue

28168

Issue Date

2021-11-01

Receive Date

2021-06-30

Publish Date

2021-11-01

Page Start

642

Page End

650

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_189643.html

Detail API

https://mid.journals.ekb.eg/service?article_code=189643

Order

7

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023