Esquemas terapêuticos para combate da Covid-19: revisão sistemática

Autores

DOI:

https://doi.org/10.33448/rsd-v10i1.11533

Palavras-chave:

COVID-19; SARS-Cov-2; Manejo clínico; Drogas antivirais.

Resumo

O objetivo deste estudo foi investigar os principais esquemas terapêuticos utilizados até o momento no combate da Covid-19 no cenário mundial. É uma revisão sistemática de literatura realizada nas bases ScienceDirect, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e Scientific Electronic Library Online (SciELO), utilizando o termo “treatment Covid-19”, realizada no mês de abril de 2020. Foram selecionados 16 artigos, segundo os critérios de inclusão: artigos de pesquisa, publicados entre fevereiro de 2019 a abril de 2020, sem distinção de idiomas. O trabalho foi organizado de acordo com as recomendações PRISMA, registrado no PROSPERO (CRD42020186262). Os artigos encontrados, variaram de estudos in vitro, in silico, ensaios clínicos abertos, coorte, retrospectivos e analíticos, realizados na China, na França, na Índia, na Arábia Saudita e na Coreia do Sul, com maior número de publicações chinesas (70,5%). As amostras variaram de uma a 199 pessoas, todas infectadas com o SARS-CoV-2, com maior percentual do sexo feminino (51,7%), idades entre 18 a 88 anos. Medicamentos como lopinavir, ritonavir, favipiravir, arbidol, costicoteroides, hidroxicloroquina, receitas da medicina tradicional chinesa, glicirrizina, azitromicina e tocilizumabe foram analisados nos estudos de forma monoterápica ou associados entre si, assim como transplante de células tronco mesenquimais, troca plasmática intensiva e imunoglobulina intravenosa. Houve divergências e complementação de resultados entre os autores. Apesar de apresentarem descobertas e auxiliarem no combate à pandemia, os estudos apresentam drogas promissoras para o tratamento da sintomatologia e carga viral, com o objetivo de identificar a terapia ideal para a doença, não obtendo consenso.

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Publicado

08/01/2021

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ZUIL, D. M. .; FONTOURA, V. M. .; SANTOS, F. S. .; SANTOS NETO, M.; PASCOAL, L. M. .; MARTINS, M. C. N. S. E. .; FONTOURA, M. G. .; DIAS, A. R. D. .; LIMA, C. C. D. .; GRAEPP-FONTOURA, I. Esquemas terapêuticos para combate da Covid-19: revisão sistemática. Research, Society and Development, [S. l.], v. 10, n. 1, p. e21310111533, 2021. DOI: 10.33448/rsd-v10i1.11533. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11533. Acesso em: 30 jun. 2024.

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Ciências da Saúde