Department of Infectious Diseases, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, China.
Department of Infectious Diseases, The Sixth People's Hospital of Zhengzhou City, Zhengzhou City, China.
J Infect Dis. 2020 Jun 16;222(1):38-43. doi: 10.1093/infdis/jiaa228.
Currently, coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been reported in almost all countries globally. No effective therapy has been documented for COVID-19, and the role of convalescent plasma therapy is unknown. In the current study, 6 patients with COVID-19 and respiratory failure received convalescent plasma a median of 21.5 days after viral shedding was first detected, all tested negative for SARS-CoV-2 RNA within 3 days after infusion, and 5 eventually died. In conclusion, convalescent plasma treatment can end SARS-CoV-2 shedding but cannot reduce the mortality rate in critically ill patients with end-stage COVID-19, and treatment should be initiated earlier.
目前,由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)已在全球几乎所有国家报告。目前尚未记录到 COVID-19 的有效治疗方法,恢复期血浆疗法的作用尚不清楚。在本研究中,6 例 COVID-19 并呼吸衰竭患者在首次检测到病毒脱落后中位 21.5 天接受了恢复期血浆治疗,所有患者在输注后 3 天内 SARS-CoV-2 RNA 检测均为阴性,最终 5 例死亡。总之,恢复期血浆治疗可以终止 SARS-CoV-2 的脱落,但不能降低终末期 COVID-19 重症患者的死亡率,应更早开始治疗。