Salvatori Pietro, Amoushahi Ali, Venuti Aldo, Paolini Francesca
ENT Department, Humanitas San Pio X Hospital, Milan, Italy.
Anesthesiology and Intensive Care, Isfahan University of Medical Sciences, Isfahan, Iran.
Infect Dis Ther. 2025 Apr 17. doi: 10.1007/s40121-025-01157-8.
Ethanol has demonstrated high efficacy in inactivating enveloped viruses in vitro and in vivo (in animal and human studies). The inhalation route has been a significant method of drug administration for respiratory disorders since ancient times. Infections with enveloped viruses cause many respiratory diseases. This concise review explores the general structural characteristics of enveloped viruses and examines the potential role of inhaled ethanol as a low-cost therapy for respiratory diseases. Current literature data suggest that ethanol inhalation could be beneficial in treating respiratory infections caused by enveloped viruses. However, there is a clear gap in well-designed clinical trials assessing the safety and efficacy of ethanol inhalation in treating respiratory infections from enveloped viruses. This low-cost therapy could become an important therapeutic option, especially for large numbers of patients simultaneously infected, as was the case during the coronavirus disease 2019 (COVID-19) pandemic. In addition, inhaled ethanol could be a successful approach for vulnerable patients such as patients with cancer because it is likely to have no or minimal effects on already established life-saving treatments. Further investigation by national and international institutions is urgently needed to validate these findings and refine treatment protocols.
乙醇已在体外和体内(在动物和人体研究中)显示出对包膜病毒具有高效灭活作用。自古以来,吸入途径一直是治疗呼吸系统疾病的重要给药方式。包膜病毒感染会引发多种呼吸系统疾病。本简要综述探讨了包膜病毒的一般结构特征,并研究了吸入乙醇作为呼吸系统疾病低成本治疗方法的潜在作用。当前文献数据表明,吸入乙醇可能有助于治疗由包膜病毒引起的呼吸道感染。然而,在评估吸入乙醇治疗包膜病毒引起的呼吸道感染的安全性和有效性方面,精心设计的临床试验存在明显空白。这种低成本治疗方法可能成为一种重要的治疗选择,特别是对于同时感染的大量患者,就像2019年冠状病毒病(COVID-19)大流行期间那样。此外,吸入乙醇对于癌症患者等脆弱患者可能是一种成功的方法,因为它可能对已有的挽救生命的治疗方法没有或只有极小的影响。国家和国际机构迫切需要进一步调查,以验证这些发现并完善治疗方案。