Clin Microbiol Infect :风湿病患者预防性使用羟氯喹并不能预防COVID-19的发生。

2021-09-08 从医路漫漫 MedSci原创

羟氯喹(HCQ)是治疗严重急性呼吸综合征(SARS)冠状病毒2型(SARS-CoV-2)感染的一种有效药物

目的:早期的体外研究表明羟氯喹(HCQ)是治疗严重急性呼吸综合征(SARS)冠状病毒2型(SARS-CoV-2)感染的一种有效药物。本研究旨在探讨羟氯喹对感染COVID-19的风湿性疾病患者是否有预防作用。

方法:进行一项基于人群的回顾性队列研究。对检测SARS-CoV-2的类风湿关节炎(RA)和系统性红斑狼疮(SLE)患者的临床资料进行了分析。比较了在检测前14天内接受HCQ治疗的SARS-CoV-2(HCQ使用者)和未使用HCQ的COVID-19患者的感染率。数据用Logistic回归模型、χ2和student's T检验进行分析。

结果:截至2020年5月15日,2066例类风湿性关节炎或系统性红斑狼疮患者进行COVID-19检测。其中31.4%(649/2066)接受HCQ治疗。大多数HCQ使用者(93.7%,608/649)推荐服用200-400 mg/d治疗风湿病。HCQ使用者的COVID-19感染率(2.3%,15/649)与未使用HCQ(2.2%,31/1417)相比,差异无统计学意义(P>0.86)。

表 COVID-19发病率亚组分析;Events-COVID-19的诊断数。OR,比数比;HCQ,羟氯喹;bDMARDs,改善免疫疾病的抗风湿药物;

tsDMARDs,靶向合成的抗风湿药物;b在14天内使用。a根据年龄、性别、地区、一个月的测试、高血压、充血性心力衰竭、肺部疾病、

消化性溃疡疾病、抗风湿药物的使用、医疗保健次数以及与1年内的类风湿性关节炎或系统性红斑狼疮相关的住院次数进行调整。

结论:在风湿病患者中,预防性使用羟氯喹的常用剂量并不能预防COVID-19的发生。

原文出处:

Sun-Young Jung, Myo-Song Kim, Min-Chul Kim,et al,Effect of hydroxychloroquine pre-exposure on infection with SARS-CoV-2 in rheumatic disease patients: a population-based cohort study.Clin Microbiol Infect 2021 Apr;27(4) 

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    2022-05-09 屋顶瞄爱赏月

    签到学习

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    2022-05-15 sunylz
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    2022-03-13 xjy02
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  7. [GetPortalCommentsPageByObjectIdResponse(id=1218211, encodeId=fe37121821110, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Mon May 09 15:46:48 CST 2022, time=2022-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1919309, encodeId=9e3619193093b, content=<a href='/topic/show?id=4f26341994' target=_blank style='color:#2F92EE;'>#Bio#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3419, encryptionId=4f26341994, topicName=Bio)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Sun May 15 18:02:36 CST 2022, time=2022-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2084638, encodeId=fdc920846389e, content=<a href='/topic/show?id=61f411e013b' target=_blank style='color:#2F92EE;'>#Micro#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11701, encryptionId=61f411e013b, topicName=Micro)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d59291, createdName=xjy02, createdTime=Sun Mar 13 06:02:36 CST 2022, time=2022-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1857942, encodeId=093f185e942de, content=<a href='/topic/show?id=3f48525849' target=_blank style='color:#2F92EE;'>#CRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5258, encryptionId=3f48525849, topicName=CRO)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c30265, createdName=jiafufeng@yaho, createdTime=Tue Jun 07 18:02:36 CST 2022, time=2022-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2034862, encodeId=261620348627a, content=<a href='/topic/show?id=69c910030635' target=_blank style='color:#2F92EE;'>#预防性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100306, encryptionId=69c910030635, topicName=预防性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45b2276, createdName=839640778, createdTime=Tue Aug 16 04:02:36 CST 2022, time=2022-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1767864, encodeId=91391e6786430, content=<a href='/topic/show?id=64f5343e2f' target=_blank style='color:#2F92EE;'>#Biol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3437, encryptionId=64f5343e2f, topicName=Biol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=446937890434, createdName=12498ebem31暂无昵称, createdTime=Sun Jan 16 15:02:36 CST 2022, time=2022-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1015965, encodeId=23d7101596555, content=嗯老巫婆可恶金额逻辑么啦鳄鱼, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Sep 09 09:00:27 CST 2021, time=2021-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1015829, encodeId=efa9101582932, content=<a href='/topic/show?id=ee7b800133e' target=_blank style='color:#2F92EE;'>#羟氯喹#</a>并不能预防<a href='/topic/show?id=f52851329b' target=_blank style='color:#2F92EE;'>#Covid-19#</a>,再次 证明!虽然体外,羟氯喹的抗病毒效果不错,但是在体内就可能不一样了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=181, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80013, encryptionId=ee7b800133e, topicName=羟氯喹), TopicDto(id=5132, encryptionId=f52851329b, topicName=Covid-19)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211210/ede9c51184aa4f54ae6c1164cfb8eeac/967dbf3eff2943c7bf3ccfec3a776ab0.JPG, createdBy=a33789389, createdName=病毒猎手, createdTime=Wed Sep 08 22:00:06 CST 2021, time=2021-09-08, status=1, ipAttribution=)]
    2021-09-09 查查佳佳

    嗯老巫婆可恶金额逻辑么啦鳄鱼

    0

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    2021-09-08 病毒猎手

    #羟氯喹#并不能预防#Covid-19#,再次 证明!虽然体外,羟氯喹的抗病毒效果不错,但是在体内就可能不一样了。

    0

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