Pathogenetic therapy of COVID-19: focus on glucocorticoids

The problem of preventing excessive production of pro-inflammatory cytokines in the case of COVID-19 remains unresolved. The use of steroids in the treatment of coronavirus pneumonia remains controversial. To date, there is insufficient literature data for the routine use of steroids in COVID-19 int...

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Main Authors: M.V. Bondar, M.M. Pilipenko, T.V. Ovsiienko, O.A. Loskutov
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2022-04-01
Series:Медицина неотложных состояний
Subjects:
Online Access:https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1466
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author M.V. Bondar
M.M. Pilipenko
T.V. Ovsiienko
O.A. Loskutov
author_facet M.V. Bondar
M.M. Pilipenko
T.V. Ovsiienko
O.A. Loskutov
author_sort M.V. Bondar
collection DOAJ
description The problem of preventing excessive production of pro-inflammatory cytokines in the case of COVID-19 remains unresolved. The use of steroids in the treatment of coronavirus pneumonia remains controversial. To date, there is insufficient literature data for the routine use of steroids in COVID-19 intensive care programs, and this issue remains the subject of continuous research and endless debate. The review of the scientific literature focuses on one of the areas of pathogenetic therapy for COVID-19 — the prevention and elimination of hyperproduction of pro-inflammatory cytokines using glucocorticoid drugs. The review presents modern international recommendations on the use of glucocorticoid drugs in severe COVID-19, examines the pathogenetic mechanisms of their action and side effects.
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spelling doaj.art-80495ba6767c4c0593e74614ff1a1a712023-03-12T14:46:38ZengZaslavsky O.Yu.Медицина неотложных состояний2224-05862307-12302022-04-0118261210.22141/2224-0586.18.2.2022.14661466Pathogenetic therapy of COVID-19: focus on glucocorticoidsM.V. Bondar0M.M. Pilipenko1T.V. Ovsiienko2O.A. Loskutov3https://orcid.org/0000-0002-7646-9193Національний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, УкраїнаНаціональний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, УкраїнаНаціональний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, Україна; ДУ «Інститут урології імені академіка О.Ф. Возіанова» НАМН України, м. Київ, УкраїнаНаціональний університет охорони здоров’я України імені П.Л. Шупика, м. Київ, УкраїнаThe problem of preventing excessive production of pro-inflammatory cytokines in the case of COVID-19 remains unresolved. The use of steroids in the treatment of coronavirus pneumonia remains controversial. To date, there is insufficient literature data for the routine use of steroids in COVID-19 intensive care programs, and this issue remains the subject of continuous research and endless debate. The review of the scientific literature focuses on one of the areas of pathogenetic therapy for COVID-19 — the prevention and elimination of hyperproduction of pro-inflammatory cytokines using glucocorticoid drugs. The review presents modern international recommendations on the use of glucocorticoid drugs in severe COVID-19, examines the pathogenetic mechanisms of their action and side effects.https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1466covid-19systemic inflammatory responsepro-inflammatory cytokineshypothalamo-pituitary-adrenal systemglucocorticoidsreview
spellingShingle M.V. Bondar
M.M. Pilipenko
T.V. Ovsiienko
O.A. Loskutov
Pathogenetic therapy of COVID-19: focus on glucocorticoids
Медицина неотложных состояний
covid-19
systemic inflammatory response
pro-inflammatory cytokines
hypothalamo-pituitary-adrenal system
glucocorticoids
review
title Pathogenetic therapy of COVID-19: focus on glucocorticoids
title_full Pathogenetic therapy of COVID-19: focus on glucocorticoids
title_fullStr Pathogenetic therapy of COVID-19: focus on glucocorticoids
title_full_unstemmed Pathogenetic therapy of COVID-19: focus on glucocorticoids
title_short Pathogenetic therapy of COVID-19: focus on glucocorticoids
title_sort pathogenetic therapy of covid 19 focus on glucocorticoids
topic covid-19
systemic inflammatory response
pro-inflammatory cytokines
hypothalamo-pituitary-adrenal system
glucocorticoids
review
url https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1466
work_keys_str_mv AT mvbondar pathogenetictherapyofcovid19focusonglucocorticoids
AT mmpilipenko pathogenetictherapyofcovid19focusonglucocorticoids
AT tvovsiienko pathogenetictherapyofcovid19focusonglucocorticoids
AT oaloskutov pathogenetictherapyofcovid19focusonglucocorticoids