Abd-Elsalam Sherief, Noor Rasha A, Badawi Rehab, Khalaf Mai, Esmail Eslam S, Soliman Shaimaa, Abd El Ghafar Mohamed S, Elbahnasawy Mohamed, Moustafa Ehab F, Hassany Sahar M, Medhat Mohammed A, Ramadan Haidi Karam-Allah, Eldeen Maii A S, Alboraie Mohamed, Cordie Ahmed, Esmat Gamal
Department of Tropical Medicine and Infectious diseases, Faculty of Medicine, Tanta University, Tanta, Egypt.
Department of Internal Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
J Med Virol. 2021 Oct;93(10):5833-5838. doi: 10.1002/jmv.27122. Epub 2021 Jun 7.
Researchers around the world are working at record speed to find the best ways to treat and prevent coronavirus disease 2019 (COVID-19). This study aimed to evaluate the efficacy of ivermectin for the treatment of hospitalized mild to moderate COVID-19 infected patients. This was a randomized open-label controlled study that included 164 patients with COVID-19. Patients were randomized into two groups where Group 1 (Ivermectin group) included patients who received ivermectin 12 mg once daily for 3 days with standard care and Group 2 (control group) included patients who received standard protocol of treatment alone for 14 days. The main outcomes were mortality, the length of hospital stay, and the need for mechanical ventilation. All patients were followed up for 1 month. Overall, 82 individuals were randomized to receive ivermectin plus standard of care and 82 to receive standard of care alone. Patients in the ivermectin group had a shorter length of hospital stay (8.82 ± 4.94 days) than the control group (10.97 ± 5.28 days), but this was not statistically significant (p = 0.085). Three patients (3.7%) in each group required mechanical ventilation (p = 1.00). The death rate was three patients in the ivermectin group (3.7%) versus four patients (4.9%) in the control group without any significant difference between the two groups (p = 1.00). Although there was no statistically significant difference in any endpoints by ivermectin doses (12 mg/day for 3 days); there was an observed trend to reducing hospital stay in the ivermectin-treated group.
世界各地的研究人员正以创纪录的速度努力寻找治疗和预防2019冠状病毒病(COVID-19)的最佳方法。本研究旨在评估伊维菌素治疗住院的轻度至中度COVID-19感染患者的疗效。这是一项随机开放标签对照研究,纳入了164例COVID-19患者。患者被随机分为两组,其中第1组(伊维菌素组)包括接受伊维菌素12毫克每日一次、共3天并接受标准护理的患者,第2组(对照组)包括仅接受14天标准治疗方案的患者。主要结局指标为死亡率、住院时间和机械通气需求。所有患者随访1个月。总体而言,82人被随机分配接受伊维菌素加标准护理,82人仅接受标准护理。伊维菌素组患者的住院时间(8.82±4.94天)比对照组(10.97±5.28天)短,但差异无统计学意义(p=0.085)。每组有3例患者(3.7%)需要机械通气(p=1.00)。伊维菌素组的死亡率为3例患者(3.7%),对照组为4例患者(4.9%),两组之间无显著差异(p=1.00)。尽管伊维菌素剂量(12毫克/天,共3天)在任何终点指标上均无统计学显著差异;但在伊维菌素治疗组中观察到了缩短住院时间的趋势。