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Bartoletti, M; Azap, O; Barac, A; Bussini, L; Ergonul, O; Krause, R; Martin-Quiros, A; Paño-Pardo, JR; Power, N; Sibani, M; Szabo, BG; Tsiodras, S; Zollner-Schwetz, I; Rodríguez-Baño, J.
European society of clinical microbiology and infectious diseases guidelines for coronavirus disease 2019: an update on treatment of patients with mild/moderate disease.
Clin Microbiol Infect. 2022; 28(12):1578-1590
Doi: 10.1016/j.cmi.2022.08.013
[OPEN ACCESS]
Web of Science
PubMed
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FullText_MUG
- Co-authors Med Uni Graz
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Krause Robert
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Zollner-Schwetz Ines
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- Abstract:
- SCOPE: Despite the large availability of vaccines, coronavirus disease 2019 (COVID-19), induced by severe acute respiratory syndrome coronavirus 2, continues to be a major threat for health-care providers and fragile people. A number of options are now available for outpatients with mild-to-moderate COVID-19 at the risk of disease progression for the prevention of deaths or hospitalization. METHODS: A European Society of Clinical Microbiology and Infectious Diseases COVID-19 guidelines task force was established by the European Society of Clinical Microbiology and Infectious Diseases Executive Committee. A small group was established, half appointed by the chair and the remaining selected based on an open call. Each panel met virtually once a week. For all decisions, a simple majority vote was used. A long list of clinical questions using the population, intervention, comparison, outcome format was developed at the beginning of the process. For each population, intervention, comparison, outcome, two panel members performed a literature search, with a third panelist involved in case of inconsistent results. Voting was based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. RECOMMENDATIONS: In this update, we focus on anti-viral agents, monoclonal antibodies (mAbs) and other treatment options proposed for patients with mild or moderate COVID-19 who are at the risk of hospitalization or death. Although the use of anti-virals is recommended, especially nirmatrelvir/ritonavir and remdesivir or, alternatively, molnupirarvir, the administration of mAbs against the spike protein strictly depends on circulating variants or the ability to test timely for variants and sub-variants. At the time of writing (April-June 2022), the only active mAb was tixagevimab/cilgavimab given the predominance of the Omicron BA.2, BA.3, BA.4 and BA.5 sub-lineages in Europe. However, considering that the epidemiological scenario is extremely dynamic, constant monitoring of variants of concern is mandatory.
- Find related publications in this database (using NLM MeSH Indexing)
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Humans - administration & dosage
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COVID-19 - drug therapy
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Antibodies, Monoclonal - administration & dosage
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Communicable Diseases - administration & dosage
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Antineoplastic Agents, Immunological - administration & dosage
- Find related publications in this database (Keywords)
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Cilgavimab
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COVID-19
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ESCMID
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Molnupiravir
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Nirmatrelvir/ritonavir
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Outpatients
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Remdesivir
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Sotrovimab
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Tixagevimab