Preview

Medical alphabet

Advanced search

Issues of etiotropic therapy in conditions of ‘omicron’ strain of SARS-CoV‑2 spreading: Real practice

https://doi.org/10.33667/2078-5631-2022-18-27-30

Abstract

The article presents clinical examples of treatment of patients with COVID-19 diagnosed during the period of active spread of the ‘omicron’ strain. The results of symptomatic therapy and the need for the appointment of etiotropic drugs, including in the late stages of the disease, are considered, which raises the greatest number of questions in clinical practice. In the presented examples, patients received medicines approved by the current temporary guidelines for the diagnosis, treatment and prevention of COVID-19 of the Ministry of Health of the Russian Federation. The analysis of the course of the disease confirms the continuing need for the appointment of etiotropic therapy in the conditions of the spread of the ‘omicron’ variant, including in the second week of the disease. Umifenovir therapy as part of a comprehensive treatment regimen suspends the progression of COVID-19 and leads to relief of symptoms. Symptomatic treatment in the conditions of the spread of a new variant of the coronavirus omicron cannot replace etiotropic and pathogenetic therapy.

About the Authors

P. V. Chukhliaev
Gabrichevsky Research Institute for Epidemiology and Microbiology
Russian Federation

Chukhliaev Pavel V., junior researcher of Scientific Clinical and Diagnostic Dept.

Moscow



D. А. Khavkina
Gabrichevsky Research Institute for Epidemiology and Microbiology
Russian Federation

Khavkina Daria А., junior researcher of Clinical Dept.

Moscow



J. J. Janibekov
Republican Children's Infectious Diseases Hospital of the Republic of Karakalpakstan
Uzbekistan

Janibekov Janabay J., PhD Med, chief physician

Nukus



T. A. Ruzhentsova
Gabrichevsky Research Institute for Epidemiology and Microbiology
Russian Federation

Ruzhentsova Tatiana A., DM Sci, deputy director for clinical work

Moscow



References

1. Kannan S., Shaik Syed Ali P., Sheeza A. Omicron (B.1.1.529) – variant of concern – molecular profile and epidemiology: a mini review. Eur Rev Med Pharmacol Sci. 2021; 25 (24): 8019–8022. DOI: 10.26355/eurrev_202112_27653.

2. Meo S. A., Meo A. S., Al-Jassir F.F., Klonoff D. C. Omicron SARS-CoV-2 new variant: global prevalence and biological and clinical characteristics. Eur Rev Med Pharmacol Sci. 2021; 25 (24): 8012–8018. DOI: 10.26355/eurrev_202112_27652.

3. Indari O., Jakhmola S., Manivannan E., Jha H. C. An update on antiviral therapy against SARS-CoV-2: How far have we come? Front. Pharmacol. 2021; 12: 632677.

4. Callaway E. Beyond Omicron: what's next for COVID's viral evolution. Nature. 2021 Dec; 600 (7888): 204–207. DOI: 10.1038/d41586–021–03619–8.

5. Fang F. F., Shi P. Y. Omicron: a drug developer's perspective. Emerg Microbes Infect. 2022 Dec; 11 (1): 208–211. DOI: 10.1080/22221751.2021.2023330.

6. Temporary methodological recommendations of the Ministry of Health of the Russian Federation ‘Prevention, diagnosis and treatment of coronavirus infection (COVID-19)’, version 15 (02/22/2022). Moscow. 2022. 224 p.

7. Руженцова Т. А., Хавкина Д. А., Чухляев П. В. и др. Влияние антикоагулянтной терапии на течение COVID-19 у коморбидных пациентов. Вопросы вирусологии. 2021; 66 (1): 40–46. DOI: 10.36233/0507–4088–14.

8. Ruzhentsova T. A., Khavkina D. A., Chukhliaev P. V. et al. Effect of anticoagulant therapy on the course of COVID-19 in comorbid patients. Problems of Virology. 2021; 66 (1): 40–46. DOI: 10.36233/0507–4088–14.

9. Ruzhentsova T. A., Chukhliaev P. V., Khavkina D. A. et al. Efficacy and safety of favipiravir in the complex therapy of mild and moderate COVID-19. Infectious diseases: news, opinions, training. 2020; 4 (35): 26–38. DOI: 10.33029/2305–3496–2020–9–00–0.

10. Khavkina D. A., Chukhliaev P. V., Ruzhentsova T. A. Ineffectiveness of COVID-19 therapy: causes and possible remedies. 2021; 2 (1): 28–31. DOI: 10.15829/2712–7567–2021–17.


Review

For citations:


Chukhliaev P.V., Khavkina D.А., Janibekov J.J., Ruzhentsova T.A. Issues of etiotropic therapy in conditions of ‘omicron’ strain of SARS-CoV‑2 spreading: Real practice. Medical alphabet. 2022;(14):27‑30. (In Russ.) https://doi.org/10.33667/2078-5631-2022-18-27-30

Views: 203


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)