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Recent:   

Safety and effectiveness of azithromycin in patients with COVID-19: An open-label randomised trial

Sekhavati et al., International Journal of Antimicrobial Agents, doi:10.1016/j.ijantimicag.2020.106143
Oct 2020  
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Mortality 67% Improvement Relative Risk Ventilation 86% ICU admission 72% Hospitalization time 23% Azithromycin  Sekhavati et al.  LATE TREATMENT  RCT Is late treatment with azithromycin beneficial for COVID-19? RCT 111 patients in Iran (April - May 2020) Shorter hospitalization with azithromycin (p=0.02) c19early.org Sekhavati et al., Int. J. Antimicrobia.., Oct 2020 Favorsazithromycin Favorscontrol 0 0.5 1 1.5 2+
Randomized controlled trial of 111 hospitalized COVID-19 patients in Iran showing significantly shorter hospital stay, higher oxygen saturation, and lower respiratory rate at discharge with azithromycin plus hydroxychloroquine and lopinavir/ritonavir compared to hydroxychloroquine and lopinavir/ritonavir alone. There were no significant differences in ICU admission, intubation, or mortality, although there was a trend towards lower ICU admission with azithromycin (3.6% vs. 12.7%, p = 0.07). Patients with prior cardiac disease were excluded. The study is limited by the small sample size and open-label design.
risk of death, 66.9% lower, RR 0.33, p = 0.50, treatment 0 of 56 (0.0%), control 1 of 55 (1.8%), NNT 55, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm).
risk of mechanical ventilation, 85.8% lower, RR 0.14, p = 0.12, treatment 0 of 56 (0.0%), control 3 of 55 (5.5%), NNT 18, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm).
risk of ICU admission, 71.9% lower, RR 0.28, p = 0.09, treatment 2 of 56 (3.6%), control 7 of 55 (12.7%), NNT 11.
hospitalization time, 22.7% lower, relative time 0.77, p = 0.02, treatment 56, control 55.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Sekhavati et al., 31 Oct 2020, Randomized Controlled Trial, Iran, peer-reviewed, 18 authors, study period 24 April, 2020 - 8 May, 2020. Contact: fatemejafari72@gmail.com, ghiasvand_62@yahoo.com.
This PaperMiscellaneousAll
Safety and effectiveness of azithromycin in patients with COVID-19: An open-label randomised trial
Ehsan Sekhavati, Fatemeh Jafari, Seyedahmad Seyedalinaghi, Saeidreza Jamalimoghadamsiahkali, Sara Sadr, Mohammad Tabarestani, Mohammad Pirhayati, Abolfazl Zendehdel, Navid Manafi, Mahboubeh Hajiabdolbaghi, Zahra Ahmadinejad, Hamid Emadi Kouchak, Sirous Jafari, Hosein Khalili, Mohamadreza Salehi, Arash Seifi, Fereshteh Shahmari Golestan, Fereshteh Ghiasvand
International Journal of Antimicrobial Agents, doi:10.1016/j.ijantimicag.2020.106143
As no specific pharmacological treatment has been validated for use in coronavirus disease 2019 , we aimed to assess the effectiveness of azithromycin (AZM) in these patients at a referral centre in Iran. An open-label, randomised controlled trial was conducted on patients with laboratoryconfirmed COVID-19. A total of 55 patients in the control group receiving hydroxychloroquine (HCQ) and lopinavir/ritonavir (LPV/r) were compared with 56 patients in the case group who in addition to the same regimen also received AZM. Patients with prior cardiac disease were excluded from the study. Furthermore, patients from the case group were assessed for cardiac arrythmia risk based on the American College of Cardiology (ACC) risk assessment for use of AZM and HCQ. The main outcome measures were vital signs, SpO 2 levels, duration of hospitalisation, need for and length of intensive care unit admission, mortality rate and results of 30-day follow-up after discharge. Initially, there was no significant difference between the general conditions and vital signs of the two groups. The SpO 2 levels at discharge were significantly higher, the respiratory rate was lower and the duration of admission was shorter in the case group. There was no significant difference in the mortality rate between the two groups. Patients who received AZM in addition to HCQ and LPV/r had a better general condition. HCQ + AZM combination may be beneficial for individuals who are known to have a very low underlying risk for cardiac arrhythmia based on the ACC criteria.
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Late treatment
is less effective
Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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