Kozlov K V, Maltsev O V, Kasyanenko K V, Sukachev V S, Lyashenko Y I, Kosuhina A A
Kirov Military Medical Academy.
Ter Arkh. 2024 Sep 14;96(8):797-803. doi: 10.26442/00403660.2024.08.202911.
To evaluate the clinical effectiveness, safety and compare the incidence of hospitalization during treatment with antiviral drugs with a direct mechanism of action (riamilovir and umifenovir) in people with acute respiratory viral infections (ARVI) in an outpatient setting.
The study included 150 outpatients with ARVI aged 18-27 years: 50 patients received riamilovir 250 mg 3 times a day for 5 days, the second group included 50 patients who received umifenovir 200 mg 4 times a day for 5 days, 50 individuals received only pathogenetic treatment.
The use of direct-acting antiviral drugs was characterized by the least severity of pain and aches in the body, general weakness, and in the group of patients receiving riamilovir, the lowest severity of rhinitis, cough, and the lowest morning body temperature were recorded compared to other groups. In riamilovir group reduction in the duration of the disease was observed. The lowest frequency of ARVI pathogens detection was observed on the 6th day in riamilovir group. Outpatient treatment with riamilovir was accompanied by a minimal number of cases of the disease requiring hospitalization.
The use of direct antiviral drugs contributes to the rapid relief of ARVI symptoms in patients receiving medical care on an outpatient basis. The antiviral drug riamilovir showed the most pronounced effectiveness (clinical and laboratory).
评估在门诊环境中,使用具有直接作用机制的抗病毒药物(瑞米洛韦和乌米芬诺韦)治疗急性呼吸道病毒感染(ARVI)患者时的临床疗效、安全性,并比较治疗期间的住院发生率。
该研究纳入了150名年龄在18至27岁的ARVI门诊患者:50名患者每天3次服用250毫克瑞米洛韦,持续5天;第二组包括50名患者,他们每天4次服用200毫克乌米芬诺韦,持续5天;50名个体仅接受病因治疗。
使用直接作用的抗病毒药物的特点是身体疼痛和酸痛、全身无力的严重程度最低,在接受瑞米洛韦治疗的患者组中,与其他组相比,鼻炎、咳嗽的严重程度最低,早晨体温也最低。在瑞米洛韦组观察到疾病持续时间缩短。在第6天,瑞米洛韦组检测到ARVI病原体的频率最低。使用瑞米洛韦进行门诊治疗时,需要住院治疗的病例数最少。
使用直接抗病毒药物有助于在门诊接受治疗的患者中迅速缓解ARVI症状。抗病毒药物瑞米洛韦显示出最显著的疗效(临床和实验室)。