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Treatment Options for COVID-19: A Review.
Front Med (Lausanne). 2020; 7:480.FM

Abstract

Background: The recent COVID-19 pandemic sweeping the globe has caused great concern worldwide. Due to the limited evidence available on the dynamics of the virus and effective treatment options available, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has had a huge impact in terms of morbidity and mortality. The economic impact is still to be assessed. Aims: The purpose of this article is to review the evidence for the multiple treatment options available, to consider the future of this global pandemic, and to identify some potential options that could revolutionize the treatment of COVID-19. Moreover, this article underscores the sheer importance of repurposing some of the available antiviral and antimicrobial agents that have long been in use so as to have an effective and expeditious response to this widespread pandemic and the need to conduct a multicenter global randomized controlled trial to find an effective single antiviral agent or a cocktail of available antimicrobial agents. Method: We thoroughly searched and reviewed various case reports, retrospective analyses, and in vitro studies published in PubMed, EMBASE, and Google Scholar regarding the treatment options used for SARS-CoV, MERS-CoV, and SARS-CoV-2 since its outbreak in an attempt to highlight treatments with the most promising results. Conclusion: We are currently facing one of the worst pandemics in history. Although SARS-CoV-2 is associated with a lower mortality rate than are SARS-CoV and MERS-CoV, its higher infectivity is making it a far more serious threat. Unfortunately, no vaccine against SARS-CoV-2 or effective drug regimen for COVID-19 currently exists. Drug repurposing of available antiviral agents may provide a respite; moreover, a cocktail of antiviral agents may be helpful in treating this disease. Here, we have highlighted a few available antimicrobial agents that could be very effective in treating COVID-19; indeed, a number of trials are underway to detect and confirm the efficacy of these agents.

Authors+Show Affiliations

Department of Medicine, King Edward Medical University, Lahore, Pakistan.Department of Medicine, Khyber Medical College, Peshawar, Pakistan.Department of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.Department of Medicine, Ziauddin University, Karachi, Pakistan.Department of Medicine, Khyber Medical College, Peshawar, Pakistan.Department of Medicine, Ziauddin University, Karachi, Pakistan.Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.Department of Gastroenterology, Pakistan Kidney and Liver Institute, Lahore, Pakistan.Department of Cardiology, Baylor College of Medicine, Houston, TX, United States.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32850922

Citation

Ali, Mukarram Jamat, et al. "Treatment Options for COVID-19: a Review." Frontiers in Medicine, vol. 7, 2020, p. 480.
Ali MJ, Hanif M, Haider MA, et al. Treatment Options for COVID-19: A Review. Front Med (Lausanne). 2020;7:480.
Ali, M. J., Hanif, M., Haider, M. A., Ahmed, M. U., Sundas, F., Hirani, A., Khan, I. A., Anis, K., & Karim, A. H. (2020). Treatment Options for COVID-19: A Review. Frontiers in Medicine, 7, 480. https://doi.org/10.3389/fmed.2020.00480
Ali MJ, et al. Treatment Options for COVID-19: a Review. Front Med (Lausanne). 2020;7:480. PubMed PMID: 32850922.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment Options for COVID-19: A Review. AU - Ali,Mukarram Jamat, AU - Hanif,Muhammad, AU - Haider,Muhammad Adnan, AU - Ahmed,Muhammad Umer, AU - Sundas,Fnu, AU - Hirani,Arham, AU - Khan,Izhan Ali, AU - Anis,Khurram, AU - Karim,Amin H, Y1 - 2020/07/31/ PY - 2020/05/02/received PY - 2020/07/15/accepted PY - 2020/8/28/entrez PY - 2020/8/28/pubmed PY - 2020/8/28/medline KW - COVID-19 KW - SARS-CoV-2 KW - chloroquine/hydroxychloroquine KW - immunoglobulin KW - ivermectin KW - remdesivir KW - tocilizumab SP - 480 EP - 480 JF - Frontiers in medicine JO - Front Med (Lausanne) VL - 7 N2 - Background: The recent COVID-19 pandemic sweeping the globe has caused great concern worldwide. Due to the limited evidence available on the dynamics of the virus and effective treatment options available, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has had a huge impact in terms of morbidity and mortality. The economic impact is still to be assessed. Aims: The purpose of this article is to review the evidence for the multiple treatment options available, to consider the future of this global pandemic, and to identify some potential options that could revolutionize the treatment of COVID-19. Moreover, this article underscores the sheer importance of repurposing some of the available antiviral and antimicrobial agents that have long been in use so as to have an effective and expeditious response to this widespread pandemic and the need to conduct a multicenter global randomized controlled trial to find an effective single antiviral agent or a cocktail of available antimicrobial agents. Method: We thoroughly searched and reviewed various case reports, retrospective analyses, and in vitro studies published in PubMed, EMBASE, and Google Scholar regarding the treatment options used for SARS-CoV, MERS-CoV, and SARS-CoV-2 since its outbreak in an attempt to highlight treatments with the most promising results. Conclusion: We are currently facing one of the worst pandemics in history. Although SARS-CoV-2 is associated with a lower mortality rate than are SARS-CoV and MERS-CoV, its higher infectivity is making it a far more serious threat. Unfortunately, no vaccine against SARS-CoV-2 or effective drug regimen for COVID-19 currently exists. Drug repurposing of available antiviral agents may provide a respite; moreover, a cocktail of antiviral agents may be helpful in treating this disease. Here, we have highlighted a few available antimicrobial agents that could be very effective in treating COVID-19; indeed, a number of trials are underway to detect and confirm the efficacy of these agents. SN - 2296-858X UR - https://www.unboundmedicine.com/medline/citation/32850922/Treatment_Options_for_COVID_19:_A_Review_ DB - PRIME DP - Unbound Medicine ER -