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  1. Article ; Online: Predictors and outcomes of respiratory bacterial coinfections in patients with COVID-19 admitted to hospital: An observational prospective study.

    Tiseo, Giusy / Suardi, Lorenzo Roberto / Giusti, Lisa / Forniti, Arianna / Caroselli, Claudio / Galfo, Valentina / Occhineri, Sara / Leonildi, Alessandro / Moscato, Giovanna / Menichetti, Francesco / Falcone, Marco

    Respirology (Carlton, Vic.)

    2022  Volume 27, Issue 11, Page(s) 987–990

    MeSH term(s) COVID-19/epidemiology ; Coinfection/epidemiology ; Coinfection/microbiology ; Hospitals ; Humans ; Prospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2022-09-16
    Publishing country Australia
    Document type Letter ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 1435849-9
    ISSN 1440-1843 ; 1323-7799
    ISSN (online) 1440-1843
    ISSN 1323-7799
    DOI 10.1111/resp.14372
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Early Use of Remdesivir and Risk of Disease Progression in Hospitalized Patients With Mild to Moderate COVID-19.

    Falcone, Marco / Suardi, Lorenzo Roberto / Tiseo, Giusy / Barbieri, Chiara / Giusti, Lisa / Galfo, Valentina / Forniti, Arianna / Caroselli, Claudio / Della Sala, Leonardo / Tempini, Sara / Okoye, Chukwuma / Monzani, Fabio / Menichetti, Francesco

    Clinical therapeutics

    2022  Volume 44, Issue 3, Page(s) 364–373

    Abstract: Purpose: Preliminary data suggest that remdesivir may influence the course of COVID-19 according to the duration of pre-admission symptoms. We aim to evaluate whether early use of remdesivir is associated with a reduced COVID-19 progression in a ... ...

    Abstract Purpose: Preliminary data suggest that remdesivir may influence the course of COVID-19 according to the duration of pre-admission symptoms. We aim to evaluate whether early use of remdesivir is associated with a reduced COVID-19 progression in a homogeneous cohort of patients with mild to moderate COVID-19.
    Methods: This prospective, observational study included patients with COVID-19 pneumonia treated with remdesivir at the University Hospital of Pisa (Italy) from September 2020 to January 2021. According to national recommendations, remdesivir was prescribed in patients with pneumonia who required oxygen supplementation by nasal cannula or mask but without the need for high-flow nasal cannula, non-invasive or invasive mechanical ventilation and had symptoms from no more than 10 days. Patients who received early (≤5 days from onset of symptoms) versus late (>5 days from onset of symptoms) remdesivir were compared. The primary outcome was a composite of high-flow nasal cannula, non-invasive or invasive mechanical ventilation, or death. A multivariate logistic regression analysis was performed to identify factors independently associated with the composite endpoint.
    Findings: Among 312 consecutive patients with COVID-19 pneumonia who received remdesivir, 90 (28.8%) received early remdesivir, whereas 222 (71.2%) received late remdesivir. Twenty-nine patients (32.2%) in the early-remdesivir group versus 104 patients (46.8%) in the late-remdesivir group met the primary end point (P = 0.018). On multivariate analysis, a history of dyspnea at home (odds ratio = 2.53; 95% CI, 1.55-4.12; P < 0.001) was the strongest factor independently associated with the progression to severe COVID-19, whereas early-remdesivir use was a protective factor (odds ratio = 0.49; 95% CI, 0.27-0.87; P = 0.015). The delayed admission to the hospital was associated with a delayed administration of remdesivir.
    Implications: The early use of remdesivir (<5 days from symptoms onset) may reduce COVID-19 progression. The identification of patients who need early hospitalization and early remdesivir may provide clinical benefit in patients with COVID-19.
    MeSH term(s) Adenosine Monophosphate/analogs & derivatives ; Alanine/analogs & derivatives ; Disease Progression ; Humans ; Pneumonia ; Prospective Studies ; COVID-19 Drug Treatment
    Chemical Substances remdesivir (3QKI37EEHE) ; Adenosine Monophosphate (415SHH325A) ; Alanine (OF5P57N2ZX)
    Language English
    Publishing date 2022-01-17
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 603113-4
    ISSN 1879-114X ; 0149-2918
    ISSN (online) 1879-114X
    ISSN 0149-2918
    DOI 10.1016/j.clinthera.2022.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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