COVID-19 Pandemisi Sırasında Kullanılan Omalizumab Tedavisi COVID-19 Sıklığı ve Şiddeti Üzerine Etkili midir?

Abstract

Amaç: Kronik spontan ürtiker (KSÜ) ve benzeri kronik dermatolojik hastalıklarda kullanılan ilaçların COVID-19'un seyri üzerindeki etkileri halen pek çok araştırma için çalışma konusu olmaya devam etmektedir. Sunulan çalışmada omalizumab ve antihistaminikler ile tedavi edilen KSÜ hastalarında COVID-19 enfeksiyonunun sıklığını ve şiddetini ortaya koymak hedeflenmiştir. Materyal ve Metot: Omalizumab veya antihistaminiklerle izlenen ve tedavi edilen KSÜ hastalarının, pandemi sırasında KSÜ ve COVID-19 ile klinik durumları retrospektif olarak değerlendirildi ve COVID-19 enfeksiyonunun insidansı ve şiddeti açısından kontrol grubu ile karşılaştırıldı. Ayrıca ürtiker hastalığının şiddeti, KSÜ grubu için pandemi öncesi skorlarla karşılaştırıldı. Bulgular: SARS-CoV-2 için gerçek zamanlı ters transkripsiyon-polimeraz zincir reaksiyonu testi pozitiflik oranı omalizumab, antihistaminik ve kontrol gruplarındaki hastaların sırasıyla %17,4, %30,1 ve %34,8'inde tespit edildi (p= 0,001). Hastalık aktivitesi skorları covid öncesi duruma kıyasla hem antihistaminik hem de omalizumab ile tedavi edilen KSÜ hastalarında artarken, omalizumab kullanan hastalarda artış daha düşük oranda saptanmıştır. Sonuç: Omalizumab grubunda COVID-19 enfeksiyonunun daha az görülmesi ve enfeksiyon sırasında ürtiker aktivite skorlarının daha düşük olması, omalizumab tedavisinin COVID-19 enfeksiyonu sırasında kullanımının güvenli ve uygun olduğunu göstermektedir.

Keywords

• Antihistamin
• COVID-19
• insidans
• omalizumab
• ürtiker

Is Omalizumab Treatment Used During the COVID-19 Pandemic Effective on the Frequency and Severity of COVID-19?

Abstract

Objective: The effects of drugs used in chronic spontaneous urticaria (CSU) and similar chronic dermatological diseases in COVID-19 continue to be the subject of many studies. The present study aimed to reveal the frequency and severity of COVID-19 infection in CSU patients treated with omalizumab and antihistamines. Materials and Methods: CSU patients who were followed up and treated with omalizumab or antihistamines were evaluated retrospectively for clinical conditions with CSU and COVID-19 during the pandemic and compared with the control group regarding the incidence and severity of COVID-19 infection. In addition, urticaria disease severity was also compared with pre-pandemic scores for the CSU group. Results: Real-time reverse transcription-polymerase chain reaction test positivity rate for SARS-CoV-2 was detected in 17.4%, 30.1%, and 34.8% of the patients in omalizumab, antihistamine, and control groups, respectively (p= 0.001). The disease activity scores were increased in both antihistamine and omalizumab treated compared to the pre-covid state CSU patients, while the increase was minor in patients using omalizumab. Conclusion: The fact that COVID-19 infection was seen less frequent and urticaria activity scores were lower during the infection in the omalizumab group suggests that omalizumab treatment is safe and convenient to use during COVID-19 infection.

Keywords

• Antihistamine
• COVID-19
• incidence
• omalizumab
• urticaria

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