Viral clearance after early corticosteroid treatment in patients with moderate or severe covid-19.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
04 12 2020
Historique:
received: 08 07 2020
accepted: 17 11 2020
entrez: 5 12 2020
pubmed: 6 12 2020
medline: 18 12 2020
Statut: epublish

Résumé

The aim of this study was to evaluate the impact of early treatment with corticosteroids on SARS-CoV-2 clearance in hospitalized COVID-19 patients. Retrospective analysis on patients admitted to the San Raffaele Hospital (Milan, Italy) with moderate/severe COVID-19 and availability of at least two nasopharyngeal swabs. The primary outcome was the time to nasopharyngeal swab negativization. A multivariable Cox model was fitted to determine factors associated with nasopharyngeal swab negativization. Of 280 patients included, 59 (21.1%) patients were treated with steroids. Differences observed between steroid users and non-users included the proportion of patients with a baseline PaO

Identifiants

pubmed: 33277573
doi: 10.1038/s41598-020-78039-1
pii: 10.1038/s41598-020-78039-1
pmc: PMC7718220
doi:

Substances chimiques

Adrenal Cortex Hormones 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

21291

Investigateurs

A Andolina (A)
M Baiardo Redaelli (MB)
E Baldissera (E)
G Bigai (G)
A Bigoloni (A)
N Boffini (N)
G Borio (G)
S Bossolasco (S)
E Bruzzesi (E)
M G Calabrò (MG)
S Calvisi (S)
C Campochiaro (C)
D Canetti (D)
V Canti (V)
J Castellani (J)
B Castiglioni (B)
G Cavalli (G)
L Cavallo (L)
M Cernuschi (M)
M Chiurlo (M)
M Cilla (M)
E Cinel (E)
P Cinque (P)
C Conte (C)
V Da Prat (V)
A Danise (A)
R De Lorenzo (R)
G De Luca (G)
A Dell'Acqua (A)
R Dell'Acqua (R)
E Della-Torre (E)
L Della Torre (LD)
G Di Terlizzi (G)
I Dumea (I)
F Farolfi (F)
M Ferrante (M)
C Frangi (C)
L Fumagalli (L)
G Gallina (G)
B Germinario (B)
N Gianotti (N)
H Hasson (H)
F Lalla (F)
G Landoni (G)
M Lanzillotta (M)
R Li Voti (RL)
A Mastrangelo (A)
E Messina (E)
E Moizo (E)
M Montagna (M)
G Monti (G)
G Morsica (G)
C Muccini (C)
S Nozza (S)
C Oltolini (C)
M Pascali (M)
A Patrizi (A)
M Pieri (M)
D Prestifilippo (D)
G Ramirez (G)
M Ranzenigo (M)
J Sapienza (J)
S Sartorelli (S)
F Seghi (F)
G Tambussi (G)
C Tassan Din (CT)
A Tomelleri (A)
S Turi (S)
C Uberti-Foppa (C)
C Vinci (C)

Commentaires et corrections

Type : ErratumIn

Références

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Auteurs

V Spagnuolo (V)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy. spagnuolo.vincenzo@hsr.it.
Vita-Salute San Raffaele University, Milan, Italy. spagnuolo.vincenzo@hsr.it.

M Guffanti (M)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.

L Galli (L)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.

A Poli (A)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.

P Rovere Querini (PR)

Vita-Salute San Raffaele University, Milan, Italy.
Internal Medicine, Diabetes, and Endocrinology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.

M Ripa (M)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.
Vita-Salute San Raffaele University, Milan, Italy.

M Clementi (M)

Vita-Salute San Raffaele University, Milan, Italy.
Unit of Microbiology and Virology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

P Scarpellini (P)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.

A Lazzarin (A)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.

M Tresoldi (M)

General Medicine and Advanced Care Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.

L Dagna (L)

Vita-Salute San Raffaele University, Milan, Italy.
Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.

A Zangrillo (A)

Vita-Salute San Raffaele University, Milan, Italy.
Anesthesia and Intensive Care Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

F Ciceri (F)

Vita-Salute San Raffaele University, Milan, Italy.
Hematology and Bone Marrow Transplant Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.

A Castagna (A)

Unit of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Institute, Milan, Italy.
Vita-Salute San Raffaele University, Milan, Italy.

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