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2022 | OriginalPaper | Buchkapitel

Evaluation of the Efficacy of Chloroquine and Hydroxychloroquine in the Treatment of Individuals with COVID-19: A Systematic Review

verfasst von : L. C. Mendes, J. Ávila, A. A. Pereira

Erschienen in: XXVII Brazilian Congress on Biomedical Engineering

Verlag: Springer International Publishing

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Abstract

This work consists of a literature review that aims to evaluate the effects and efficacy of two drugs used to treat individuals with COVID-19: chloroquine (CQ) and hydroxychloroquine (HCQ). Both drugs have demonstrated antiviral activity against the new coronavirus in in vitro tests. However, there is currently no strong evidence from well-designed controlled studies of COVID-19 therapies tested in humans. In addition, the evidence on the effects of drugs on patients is extremely limited. The search for evidence was made from five chosen databases, and after applying the criteria for inclusion and exclusion of articles, 5 publications were obtained, which represented the basis for the construction of this work. We concluded that, in relation to CQ, no favorable outcomes were found in relation to its use. High doses of this drug can increase lethality due to the prolongation of the QT interval, and lower doses could not estimate evident benefits in infected patients. Assessing the results of HCQ, it can be concluded that more studies are needed to effectively use this drug in the treatment of individuals with COVID-19.

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Literatur
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Zurück zum Zitat Yao X, Ye F, Zhang M et al (2020) In vitro antiviral activity and projection of optimized dosing design of hydroxychloroquine for the treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Clin Infect Dis 10–282 https://doi.org/10.1093/cid/ciaa237 Yao X, Ye F, Zhang M et al (2020) In vitro antiviral activity and projection of optimized dosing design of hydroxychloroquine for the treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Clin Infect Dis 10–282 https://​doi.​org/​10.​1093/​cid/​ciaa237
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Zurück zum Zitat Esposito S, Noviello S, Pagliano P (2020) Update on treatment of COVID-19: ongoing studies between promising and disappointing results. Infez Med 2:198–211 Esposito S, Noviello S, Pagliano P (2020) Update on treatment of COVID-19: ongoing studies between promising and disappointing results. Infez Med 2:198–211
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Zurück zum Zitat Borba M, Val F, Sampaio V et al (2020) Chloroquine diphosphate in two different dosages as adjunctive therapy of hospitalized patients with severe respiratory syndrome in the context of coronavirus (SARS-CoV-2) infection: preliminary safety results of a randomized, double-blinded, phase IIb clinical trial (CloroCovid-19 study). MedRxiv. https://doi.org/10.1101/2020.04.07.20056424CrossRef Borba M, Val F, Sampaio V et al (2020) Chloroquine diphosphate in two different dosages as adjunctive therapy of hospitalized patients with severe respiratory syndrome in the context of coronavirus (SARS-CoV-2) infection: preliminary safety results of a randomized, double-blinded, phase IIb clinical trial (CloroCovid-19 study). MedRxiv. https://​doi.​org/​10.​1101/​2020.​04.​07.​20056424CrossRef
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Zurück zum Zitat Chen J, Liu D, Liu L et al (2020) A pilot study of hydroxychloroquine in treatment of patients with moderate COVID-19. Zhejiang Da Xue Xue Bao Yi Xue Ban 2:215–219 Chen J, Liu D, Liu L et al (2020) A pilot study of hydroxychloroquine in treatment of patients with moderate COVID-19. Zhejiang Da Xue Xue Bao Yi Xue Ban 2:215–219
Metadaten
Titel
Evaluation of the Efficacy of Chloroquine and Hydroxychloroquine in the Treatment of Individuals with COVID-19: A Systematic Review
verfasst von
L. C. Mendes
J. Ávila
A. A. Pereira
Copyright-Jahr
2022
DOI
https://doi.org/10.1007/978-3-030-70601-2_308

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