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. ZhdanovRussian Federation
Saint-Petersburg
K. V. Kozlov
Russian Federation
Saint-Petersburg
K. V. Kas’janenko
Russian Federation
Saint-Petersburg
S. M. Zakharenko
Russian Federation
Saint-Petersburg
V. S. Sukachev
Russian Federation
Saint-Petersburg
N. I. L’vov
Russian Federation
Saint-Petersburg
O. V. Mal’tsev
Russian Federation
Saint-Petersburg
D. V. Lavrenchuk
Russian Federation
Saint-Petersburg
I. I. Lapikov
Russian Federation
Moscow
V. V. Sharabhanov
Russian Federation
Saint-Petersburg
R. M. Mukhtarov
Russian Federation
Saint-Petersburg
M. A. Bulygin
Russian Federation
Saint-Petersburg
V. G. Potapenko
Russian Federation
Saint-Petersburg
E. A. Malikova
Russian Federation
Saint-Petersburg
M. N. Nepomnjashchikh
Russian Federation
Saint-Petersburg
B. B. Mursalov
Russian Federation
Saint-Petersburg
A. R. Sheraliev
Russian Federation
Saint-Petersburg
M. Yu. Pervakova
Russian Federation
Saint-Petersburg
S. V. Lapin
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