凯莱尼将非甾体抗炎药和硝唑尼特纳入其中的早期治疗登革病毒病方案:一种抗病毒的万灵药。
Kelleni's protocol incorporating non-steroidal anti-inflammatory drugs and nitazoxanide to early manage dengue virus disease: An antiviral silver bullet.
作者信息
Kelleni Mina Thabet
机构信息
Department of Pharmacology, College of Medicine, Minia University, Minya 61519, Egypt.
出版信息
World J Clin Cases. 2025 Oct 6;13(28):108181. doi: 10.12998/wjcc.v13.i28.108181.
The current recommendation to avoid non-steroidal anti-inflammatory drugs (NSAIDs) in the management of dengue virus disease (DVD) is scientifically considered of very low to low certainty, despite being widely adopted worldwide. The same recommendation, initially made during the coronavirus disease 2019 (COVID-19) pandemic, was subsequently proven incorrect. In this clinical report, we present evidence, for the first time globally, from a real-life practice that NSAIDs may actually be lifesaving in the early management of DVD as they have proved to be in COVID-19. Moreover, we propose that the personalized immune-modulatory Kelleni's protocol, which includes nitazoxanide as a key component, can be safely and effectively used to manage various separate or concomitant viral infections and co-infections, including DVD. Importantly, this article contributes to the current medical knowledge in the global pursuit of a safe and effective broad-spectrum antiviral protocol that can be used to early manage multiple highly infectious viruses. However, it's crucial that sufficiently powered controlled randomized clinical trials be conducted to thoroughly assess and evaluate the safety of NSAIDs in the early management of DVD as well as the efficacy of nitazoxanide with or without NSAIDs in its management.
目前关于在登革热病毒病(DVD)治疗中避免使用非甾体抗炎药(NSAIDs)的建议,尽管在全球范围内被广泛采用,但经科学评估其确定性非常低至低。同样的建议最初是在2019年冠状病毒病(COVID-19)大流行期间提出的,后来被证明是错误的。在本临床报告中,我们首次在全球范围内展示了来自实际临床实践的证据,即NSAIDs在DVD的早期治疗中可能确实是救命的,就像它们在COVID-19中所证明的那样。此外,我们提出,以硝唑尼特为关键成分的个性化免疫调节凯莱尼方案可以安全有效地用于治疗各种单独或伴随的病毒感染和合并感染,包括DVD。重要的是,本文为全球寻求一种可用于早期治疗多种高传染性病毒的安全有效的广谱抗病毒方案的当前医学知识做出了贡献。然而,至关重要的是要进行足够规模的对照随机临床试验,以全面评估和评价NSAIDs在DVD早期治疗中的安全性,以及硝唑尼特在有或没有NSAIDs情况下治疗DVD的疗效。
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