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为什么用羟氯喹进行暴露前预防是一种安全且合理的针对 SARS-CoV-2 感染的方法?

Why is pre-exposure prophylaxis with hydroxychloroquine a safe and rationale approach against SARS-CoV-2 infection?

机构信息

Department of Medicine, SMS Medical College, Jaipur, India.

Department of Medicine, SMS Medical College, Jaipur, India.

出版信息

J Glob Antimicrob Resist. 2020 Sep;22:864-865. doi: 10.1016/j.jgar.2020.07.022. Epub 2020 Aug 7.

DOI:10.1016/j.jgar.2020.07.022
PMID:32777441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7836824/
Abstract

The potentiality of Hydroxychloroquine (HCQ) for pre-exposure prophylaxis against SARS-CoV-2 has not been explored in randomized controlled trials. However, there is rationale behind this potentiality in terms of demonstrated in-vitro effect of HCQ against SARS-CoV-2, safety profile of HCQ in healthy individuals and a recent observational study demonstrating benefits of HCQ prophylaxis in terms of a significant reduction (>80%) in the odds of SARS-CoV-2 infection in the health-care workers (HCWs) with the intake of six or more doses of HCQ prophylaxis as per the guidelines of the National Task Force for COVID-19 in India. Hence, pre-exposure prophylaxis with HCQ in appears to be a reasonable strategy in the current scenario for prevention of SARS-CoV-2 infection in healthy HCWs.

摘要

羟氯喹(HCQ)预防 SARS-CoV-2 的潜力尚未在随机对照试验中得到探索。然而,HCQ 具有以下潜在作用:已证明 HCQ 在体外对 SARS-CoV-2 具有抑制作用、HCQ 在健康个体中的安全性特征,以及最近的一项观察性研究表明,HCQ 预防可带来益处,可显著降低(>80%)根据印度国家 COVID-19 工作队的指南,接受 6 剂或更多 HCQ 预防剂量的医护人员(HCWs)感染 SARS-CoV-2 的几率。因此,在当前情况下,HCQ 暴露前预防对于预防健康 HCWs 感染 SARS-CoV-2 似乎是一种合理的策略。

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PLoS One. 2022 Feb 9;17(2):e0261980. doi: 10.1371/journal.pone.0261980. eCollection 2022.

本文引用的文献

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Healthcare workers & SARS-CoV-2 infection in India: A case-control investigation in the time of COVID-19.医护人员与 SARS-CoV-2 在印度的感染:COVID-19 时期的病例对照研究。
Indian J Med Res. 2020 May;151(5):459-467. doi: 10.4103/ijmr.IJMR_2234_20.
2
A Randomized Trial of Hydroxychloroquine as Postexposure Prophylaxis for Covid-19.羟氯喹作为 COVID-19 暴露后预防的随机试验。
N Engl J Med. 2020 Aug 6;383(6):517-525. doi: 10.1056/NEJMoa2016638. Epub 2020 Jun 3.
3
RETRACTED: Hydroxychloroquine or chloroquine with or without a macrolide for treatment of COVID-19: a multinational registry analysis.撤回:羟氯喹或氯喹联合或不联合大环内酯类药物治疗新型冠状病毒肺炎:一项多国注册分析
Lancet. 2020 May 22. doi: 10.1016/S0140-6736(20)31180-6.
4
Hydroxychloroquine, a less toxic derivative of chloroquine, is effective in inhibiting SARS-CoV-2 infection in vitro.羟氯喹啉是氯喹毒性较低的衍生物,在体外可有效抑制严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染。
Cell Discov. 2020 Mar 18;6:16. doi: 10.1038/s41421-020-0156-0. eCollection 2020.
5
New insights on the antiviral effects of chloroquine against coronavirus: what to expect for COVID-19?氯喹抗冠状病毒的抗病毒作用的新见解:对 COVID-19 有何期待?
Int J Antimicrob Agents. 2020 May;55(5):105938. doi: 10.1016/j.ijantimicag.2020.105938. Epub 2020 Mar 12.
6
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).羟氯喹治疗严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2)的体外抗病毒活性和优化剂量设计预测。
Clin Infect Dis. 2020 Jul 28;71(15):732-739. doi: 10.1093/cid/ciaa237.
7
Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro.瑞德西韦和氯喹在体外能有效抑制新出现的新型冠状病毒(2019 - 新冠病毒)。
Cell Res. 2020 Mar;30(3):269-271. doi: 10.1038/s41422-020-0282-0. Epub 2020 Feb 4.
8
The arrhythmogenic cardiotoxicity of the quinoline and structurally related antimalarial drugs: a systematic review.奎宁和结构相关抗疟药物的致心律失常性心脏毒性:系统评价。
BMC Med. 2018 Nov 7;16(1):200. doi: 10.1186/s12916-018-1188-2.