Is Immunomodulatory Property of Hydroxychloroquine Beneficial for Severe COVID-19? A Hospital Based Retrospective Observational Study

M. P. Mohanta, Debabrata Behera, D. Das, P. Mishra, S. Satapathy, L. Patnaik, Saroj Badapanda, Gayathri Prakash
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Abstract

Since the beginning of the COVID-19 pandemic, Hydroxychloroquine is being prescribed by the doctors all over the world for the treatment as well as prevention of COVID-19 with varying results. As we know damage in severe COVID-19 disease occurs mainly via the immunological mechanism. There is an assumption that HCQ has immunomodulatory property and thus may have a beneficial role in severe COVID-19 disease. In this retrospective study, we describe our experience of using low dose of HCQ (200mg/day) in 27 hospitalized severe cases of COVID-19 disease. We found, though the use of HCQ resulted in improvements in chest X-rays, there was no significant reduction in the deaths in the cases where HCQ was used.
羟氯喹的免疫调节作用对重症COVID-19有益吗?一项基于医院的回顾性观察研究
自新冠肺炎大流行开始以来,世界各地的医生都在为新冠肺炎的治疗和预防开具羟氯喹处方,结果各不相同。正如我们所知,严重新冠肺炎疾病的损害主要通过免疫机制发生。有一种假设是,HCQ具有免疫调节特性,因此可能在严重的新冠肺炎疾病中发挥有益作用。在这项回顾性研究中,我们描述了在27例新冠肺炎疾病住院重症病例中使用低剂量HCQ(200mg/天)的经验。我们发现,尽管HCQ的使用改善了胸部X光检查,但在使用HCQ的病例中,死亡人数并没有显著减少。
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