Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection

Aim: to evaluate the efficacy and safety of convalescent plasma therapy for patients with severe SARS-CoV-2 infection.Materials and methods: the study included 64 patients with laboratory-confirmed severe new coronavirus infection. The control group consisted of 58 patients who, in addition to stand...

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Main Authors: D. V. Lavrenchuk, K. V. Zhdanov, K. V. Kozlov, O. V. Mal’cev, V. V. Gordienko, K. V. Kas’janenko, A. V. Kushnir, I. A. Vorob’jov, A. M. Ivanov, V. Nю Vil’janinov, M. E. Meshkova, Yu. V. Nikitin, E. B. Masalov
Format: Article
Language:Russian
Published: Journal Infectology 2022-04-01
Series:Журнал инфектологии
Subjects:
Online Access:https://journal.niidi.ru/jofin/article/view/1308
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author D. V. Lavrenchuk
K. V. Zhdanov
K. V. Kozlov
O. V. Mal’cev
V. V. Gordienko
K. V. Kas’janenko
A. V. Kushnir
I. A. Vorob’jov
A. M. Ivanov
V. Nю Vil’janinov
M. E. Meshkova
Yu. V. Nikitin
E. B. Masalov
author_facet D. V. Lavrenchuk
K. V. Zhdanov
K. V. Kozlov
O. V. Mal’cev
V. V. Gordienko
K. V. Kas’janenko
A. V. Kushnir
I. A. Vorob’jov
A. M. Ivanov
V. Nю Vil’janinov
M. E. Meshkova
Yu. V. Nikitin
E. B. Masalov
author_sort D. V. Lavrenchuk
collection DOAJ
description Aim: to evaluate the efficacy and safety of convalescent plasma therapy for patients with severe SARS-CoV-2 infection.Materials and methods: the study included 64 patients with laboratory-confirmed severe new coronavirus infection. The control group consisted of 58 patients who, in addition to standard therapy, received a transfusion of plasma from donors who had recovered from COVID-19. The effectiveness of immune plasma was assessed by the duration of fever, the level of oxygen (SpO2 %) in dynamics, the detection of SARSCoV-2 RNA in nasopharyngeal and oropharyngeal swabs using PCR method in dynamics, as well as by the dynamics of blood tests results. Adverse events (any medically adverse events that occurred after immune plasma transfusion) were recorded as safety criteria.Results: patients who received convalescent plasma, showed a significantly shorter period of SARS-CoV-2 replication compared with the control group. The use of immune plasma did not have a statistically significant effect on the duration of the fever, as well as the dynamics of blood oxygenation. Also, there were no significant differences compared with the control group when assessing blood tests parameters.Conclusion: The use of COVID-19 convalescent plasma to treat severe COVID-19 did not show significant clinical effect but reduced the period of viral replication. It also showed no unexpected or serious adverse events.
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spelling doaj.art-a600178f4e6943548ee2160a7f4dc1952025-03-02T13:00:34ZrusJournal InfectologyЖурнал инфектологии2072-67322022-04-01141535910.22625/2072-6732-2022-14-1-53-59969Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infectionD. V. Lavrenchuk0K. V. Zhdanov1K. V. Kozlov2O. V. Mal’cev3V. V. Gordienko4K. V. Kas’janenko5A. V. Kushnir6I. A. Vorob’jov7A. M. Ivanov8V. Nю Vil’janinov9M. E. Meshkova10Yu. V. Nikitin11E. B. Masalov12Military Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovAim: to evaluate the efficacy and safety of convalescent plasma therapy for patients with severe SARS-CoV-2 infection.Materials and methods: the study included 64 patients with laboratory-confirmed severe new coronavirus infection. The control group consisted of 58 patients who, in addition to standard therapy, received a transfusion of plasma from donors who had recovered from COVID-19. The effectiveness of immune plasma was assessed by the duration of fever, the level of oxygen (SpO2 %) in dynamics, the detection of SARSCoV-2 RNA in nasopharyngeal and oropharyngeal swabs using PCR method in dynamics, as well as by the dynamics of blood tests results. Adverse events (any medically adverse events that occurred after immune plasma transfusion) were recorded as safety criteria.Results: patients who received convalescent plasma, showed a significantly shorter period of SARS-CoV-2 replication compared with the control group. The use of immune plasma did not have a statistically significant effect on the duration of the fever, as well as the dynamics of blood oxygenation. Also, there were no significant differences compared with the control group when assessing blood tests parameters.Conclusion: The use of COVID-19 convalescent plasma to treat severe COVID-19 did not show significant clinical effect but reduced the period of viral replication. It also showed no unexpected or serious adverse events.https://journal.niidi.ru/jofin/article/view/1308convalescent plasmanovel coronavirus infectioncovid-19sars-cov-2
spellingShingle D. V. Lavrenchuk
K. V. Zhdanov
K. V. Kozlov
O. V. Mal’cev
V. V. Gordienko
K. V. Kas’janenko
A. V. Kushnir
I. A. Vorob’jov
A. M. Ivanov
V. Nю Vil’janinov
M. E. Meshkova
Yu. V. Nikitin
E. B. Masalov
Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection
Журнал инфектологии
convalescent plasma
novel coronavirus infection
covid-19
sars-cov-2
title Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection
title_full Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection
title_fullStr Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection
title_full_unstemmed Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection
title_short Clinical efficacy and safety of convalescent plasma therapy for patients with SARS-CoV-2 infection
title_sort clinical efficacy and safety of convalescent plasma therapy for patients with sars cov 2 infection
topic convalescent plasma
novel coronavirus infection
covid-19
sars-cov-2
url https://journal.niidi.ru/jofin/article/view/1308
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