Pathogenetic therapy in patients with COVID-19

The new coronavirus infection (COVID-19) has become a truly global challenge for all of humanity, and, above all, for the healthcare system. Among its most important aspects that require careful analysis are the clinical and laboratory features of the course of the disease, which make it possible to...

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Main Authors: V. A. Kapatsina, M. A. Vashukova, D. A. Gusev
Format: Article
Language:Russian
Published: Journal Infectology 2022-10-01
Series:Журнал инфектологии
Subjects:
Online Access:https://journal.niidi.ru/jofin/article/view/1394
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author V. A. Kapatsina
M. A. Vashukova
D. A. Gusev
author_facet V. A. Kapatsina
M. A. Vashukova
D. A. Gusev
author_sort V. A. Kapatsina
collection DOAJ
description The new coronavirus infection (COVID-19) has become a truly global challenge for all of humanity, and, above all, for the healthcare system. Among its most important aspects that require careful analysis are the clinical and laboratory features of the course of the disease, which make it possible to determine approaches to pathogenetic therapy in severe forms of the disease.Materials and methods. A retrospective analysis of the medical records of patients with severe COVID-19 who were hospitalized in St. Petersburg State Budgetary Infectious Diseases Clinical Hospital named after S.P. Botkin” in 20202022. Clinical and laboratory characteristics were assessed, including levels of C-reactive protein, interleukin-6, and fever dynamics. The criteria for prescribing drugs for pathogenetic therapy in patients with COVID-19 and their effectiveness were determined.Results. In the treatment of patients with COVID-19, it is necessary to carefully evaluate the clinical picture of the course of the disease, which is ahead of changes in laboratory parameters. The introduction of humanized antibody preparations leads to a regression of general infectious symptoms, subjective and objective manifestations of respiratory failure and, as a result, to a reduction in the length of stay of patients in the hospital. It is extremely important to timely preventive administration of drugs during the period of increasing “cytokine storm”. The optimal time for prescribing drugs is 1–3 days from the moment of receipt, until the patient is transferred to a ventilator.
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institution Kabale University
issn 2072-6732
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publisher Journal Infectology
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series Журнал инфектологии
spelling doaj-art-78f756a89dcb49c2945ae76c8cba2ff72025-08-20T03:44:24ZrusJournal InfectologyЖурнал инфектологии2072-67322022-10-01143303610.22625/2072-6732-2022-14-3-30-361022Pathogenetic therapy in patients with COVID-19V. A. Kapatsina0M. A. Vashukova1D. A. Gusev2Clinical Infectious Hospital named after S.P. BotkinClinical Infectious Hospital named after S.P. Botkin; National Medical Research Centre named after V.A. AlmazovClinical Infectious Hospital named after S.P. Botkin; National Medical Research Centre named after V.A. AlmazovThe new coronavirus infection (COVID-19) has become a truly global challenge for all of humanity, and, above all, for the healthcare system. Among its most important aspects that require careful analysis are the clinical and laboratory features of the course of the disease, which make it possible to determine approaches to pathogenetic therapy in severe forms of the disease.Materials and methods. A retrospective analysis of the medical records of patients with severe COVID-19 who were hospitalized in St. Petersburg State Budgetary Infectious Diseases Clinical Hospital named after S.P. Botkin” in 20202022. Clinical and laboratory characteristics were assessed, including levels of C-reactive protein, interleukin-6, and fever dynamics. The criteria for prescribing drugs for pathogenetic therapy in patients with COVID-19 and their effectiveness were determined.Results. In the treatment of patients with COVID-19, it is necessary to carefully evaluate the clinical picture of the course of the disease, which is ahead of changes in laboratory parameters. The introduction of humanized antibody preparations leads to a regression of general infectious symptoms, subjective and objective manifestations of respiratory failure and, as a result, to a reduction in the length of stay of patients in the hospital. It is extremely important to timely preventive administration of drugs during the period of increasing “cytokine storm”. The optimal time for prescribing drugs is 1–3 days from the moment of receipt, until the patient is transferred to a ventilator.https://journal.niidi.ru/jofin/article/view/1394covid-19pathogenesisgeneralization of viral infectionimmunopathological mechanismstreatment
spellingShingle V. A. Kapatsina
M. A. Vashukova
D. A. Gusev
Pathogenetic therapy in patients with COVID-19
Журнал инфектологии
covid-19
pathogenesis
generalization of viral infection
immunopathological mechanisms
treatment
title Pathogenetic therapy in patients with COVID-19
title_full Pathogenetic therapy in patients with COVID-19
title_fullStr Pathogenetic therapy in patients with COVID-19
title_full_unstemmed Pathogenetic therapy in patients with COVID-19
title_short Pathogenetic therapy in patients with COVID-19
title_sort pathogenetic therapy in patients with covid 19
topic covid-19
pathogenesis
generalization of viral infection
immunopathological mechanisms
treatment
url https://journal.niidi.ru/jofin/article/view/1394
work_keys_str_mv AT vakapatsina pathogenetictherapyinpatientswithcovid19
AT mavashukova pathogenetictherapyinpatientswithcovid19
AT dagusev pathogenetictherapyinpatientswithcovid19