COVİD-19 Tanısıyla Tedavi Edilen Hastalarda Klinik Deneyimler

Abstract

Amaç: Tüm dünyada COVID-19 enfeksiyonunu etkileyebilecek spesifik bir antiviral ve immünomodülatör tedavi yöntemi bulunamamıştır ve araştırmalar devam etmektedir. Amacımız kliniğimizde tedavi gören COVID-19 hastalarındaki klinik deneyimlerimizi paylaşmaktır. Gereç ve Yöntem: 11 Mart – 31 Mayıs 2020 tarihleri arasında semptomları COVID-19 ile uyumlu olan ve mikrobiyolojik bulguları/ tomografi bulguları uyumlu olan hastalar çalışmaya alındı. Bulgular: Çalışmaya dahil edilen 180 hasta arasında; 45 (%25.0) hastaya HCQ tedavisi sonrası favipiravir tedavisi eklendiği saptandı. Tedavi grupları arasında; yaş, meslek, oksijen satürasyonu, diabetes mellitus, hipertansiyon ve akciğer hastalığı varlığı ve BT bulguları arasındaki ilişki bu idi. (p <0.05). Sonuç: Hasta gruplarında; 65 yaş ve üzeri, komorbiditesi olan, başvuruda yaygın BT tutulumu olan, Sat O2≤94 olan hastalarda favipiravir tedavisine geçilmesi ve yanıt alınması tedavi seçiminde belirleyici olabilir.

Keywords

• Hydroxychloroquine
• tedavi
• Favipiravir
• Covid-19

Clinical Experiences in Patients Treated with the Diagnosis of COVID-19

Abstract

Objective: All over the world, a specific antiviral and immunomodulatory treatment method that can affect COVID-19 infection has not been found, and research is ongoing. Our goal is to share our clinical experience in patients receiving in patient treatment in our clinic. Materials and Methods: Patients whose symptoms were compatible with COVID-19 and whose microbiological findings and/or tomography findings were compatible between March 11 and May 31, 2020 were included in the study. Results: Among 180 patients included in the study; It was found that favipiravir treatment was added to 45 (25.0%) patients after HCQ treatment. A significant difference was found between treatment groups concerning; age, occupation, oxygen saturation, presence of diabetes mellitus, hypertansion and lung disease, and CT findings (p <0.05). Conclusion: In patient groups; Switching to favipiravir treatment and getting a response in patients aged 65 and over, with comorbidities, widespread CT involvement at admission, and Sat O2≤94 may be predictive in treatment selection.

Keywords

• Covid-19
• Favipiravir
• Hydroxychloroquine
• treatment

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