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Clinical efficacy and safety of nebulized prostacyclin in patients with sARs-CoV-2 (prospective comparative study)

https://doi.org/10.22625/2072-6732-2020-12-3-34-41

Abstract

Aim. In this study we evaluated clinical effectiveness and safety of nebulized prostacyclin in patients with Novel Coronavirus Disease (SARS-CoV-2).
Materials and methods: We have included 44 male patients with moderate PCR confirmed SARS-CoV-2 infection in this study. Control group consisted of 23 patients treated with nebulized prostacyclin (PGI2). besides standard therapy. We compared intensiveness and duration of infectious intoxication syndrome, duration of fever, cough as well as SpO2 level, complete blood count and chemokine status values.
Results: Statistically significant difference in duration of fever, cough, intensiveness and duration of infectious intoxication syndrome were observed. Lymphocyte and platelet counts were significantly higher in control group We have also noticed significantly lower level of proinflammatory mediators and C4-complement component in control group. Only 1 adverse effect associated with inhaled prostacyclin was reported.
Conclusion. Nebulized prostacyclin showed therapeutic efficacy and good safety profile in adults with moderate COVID-19.

About the Authors

K. V. Zhdanov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


K. V. Kozlov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


K. V. Kas’janenko
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


S. M. Zakharenko
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


V. S. Sukachev
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


N. I. L’vov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


O. V. Mal’tsev
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


D. V. Lavrenchuk
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


I. I. Lapikov
The Promotion of Safe Information Technologies Development Foundtion
Russian Federation
Moscow


V. V. Sharabhanov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


R. M. Mukhtarov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


M. A. Bulygin
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


V. G. Potapenko
City Clinical hospital № 31
Russian Federation
Saint-Petersburg


E. A. Malikova
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


M. N. Nepomnjashchikh
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


B. B. Mursalov
Military Medical Academy named after S.M. Kirov
Russian Federation
Saint-Petersburg


A. R. Sheraliev
Russian Research Center for Radiology and Surgical Technologies named after academicican A.M. Granov
Russian Federation
Saint-Petersburg


M. Yu. Pervakova
First Saint-Petersburg State Medical University named after academician I.P. Pavlov
Russian Federation
Saint-Petersburg


S. V. Lapin
First Saint-Petersburg State Medical University named after academician I.P. Pavlov
Russian Federation
Saint-Petersburg


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Review

For citations:


Zhdanov K.V., Kozlov K.V., Kas’janenko K.V., Zakharenko S.M., Sukachev V.S., L’vov N.I., Mal’tsev O.V., Lavrenchuk D.V., Lapikov I.I., Sharabhanov V.V., Mukhtarov R.M., Bulygin M.A., Potapenko V.G., Malikova E.A., Nepomnjashchikh M.N., Mursalov B.B., Sheraliev A.R., Pervakova M.Yu., Lapin S.V. Clinical efficacy and safety of nebulized prostacyclin in patients with sARs-CoV-2 (prospective comparative study). Journal Infectology. 2020;12(3):34-41. (In Russ.) https://doi.org/10.22625/2072-6732-2020-12-3-34-41

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