Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study

Context: Currently, there is no effective antiviral therapy recommended for novel coronavirus pneumonia 2019 (COVID-19). Aims: To assess the safety of ozonized saline solution (O3SS) used as a complementary therapy in adult COVID-19 patients. Methods: Twenty-five adult patients hospitalized wi...

Full description

Bibliographic Details
Main Authors: Adriana Schwartz, Gregorio Martínez-Sánchez, Alejandra M. de Lucía, Sergio M. Viana, Alina M. Constanta
Format: Article
Language:English
Published: GarVal Editorial Ltda. 2021-03-01
Series:Journal of Pharmacy & Pharmacognosy Research
Subjects:
Online Access:https://jppres.com/jppres/pdf/vol9/jppres20.971_9.2.126.pdf
_version_ 1811311203713024000
author Adriana Schwartz
Gregorio Martínez-Sánchez
Alejandra M. de Lucía
Sergio M. Viana
Alina M. Constanta
author_facet Adriana Schwartz
Gregorio Martínez-Sánchez
Alejandra M. de Lucía
Sergio M. Viana
Alina M. Constanta
author_sort Adriana Schwartz
collection DOAJ
description Context: Currently, there is no effective antiviral therapy recommended for novel coronavirus pneumonia 2019 (COVID-19). Aims: To assess the safety of ozonized saline solution (O3SS) used as a complementary therapy in adult COVID-19 patients. Methods: Twenty-five adult patients hospitalized with mild to severe symptoms of COVID-19, who met the inclusion criteria and were treated from April 18 to April 26, 2020, at Virgen De La Paloma Hospital, Madrid, Spain were included in this study. Patients were assigned to receive standard care consisting ceftriaxone (250 mg – 2 g twice daily for 7 days) plus azithromycin (500 mg once daily for 5 days), of 200 – 400 mg hydroxychloroquine twice daily for 5-7 days plus tocilizumab 400 mg twice daily for 5 days, low molecular weight heparin and 40 to 60 mg metil-prednisone plus O3SS, 200 mL, 3-5 µg/mL per day for 10 days. No control group was included, the data was compared to clinical trials in this subject. Secondary endpoints assessed included the clinical status of participants, laboratory examinations, and duration of viral shedding. Results: Patients with COVID-19 with mild to severe symptoms who received intravenous O3SS as an adjunct treatment experienced no side effects. The main results of O3SS treatment were a tendency to improve clinical symptoms without side effects. None of the patients treated died. Conclusions: Early evidence of efficacy shown improvements in symptoms such as dyspnea, weakness, and reduction in body temperature were observed and corresponded to improvements in laboratory results including D-dimer, fibrinogen, lactate dehydrogenase, and C-reactive protein. These preliminary data will serve as the basis for a future study of the effectiveness of this therapy.
first_indexed 2024-04-13T10:13:37Z
format Article
id doaj.art-f9d8a49cdcbf4424a4a97e8ecc693726
institution Directory Open Access Journal
issn 0719-4250
language English
last_indexed 2024-04-13T10:13:37Z
publishDate 2021-03-01
publisher GarVal Editorial Ltda.
record_format Article
series Journal of Pharmacy & Pharmacognosy Research
spelling doaj.art-f9d8a49cdcbf4424a4a97e8ecc6937262022-12-22T02:50:49ZengGarVal Editorial Ltda.Journal of Pharmacy & Pharmacognosy Research0719-42502021-03-0192126142Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot studyAdriana Schwartz0Gregorio Martínez-Sánchez1Alejandra M. de Lucía2Sergio M. Viana3Alina M. Constanta4Fiorella Clinic, Pain Management Unit, Madrid (28035), Spain.Scientific advisor, Freelance, Ancona (60126), Italy.Integrative Medicine Clinic, Madrid (28002), Spain.Cardio Care of Hospital High Care Marbella and Hospital CHIP of Malaga (29010), Spain.Hospital Virgen De La Paloma, Madrid (28003) Spain.Context: Currently, there is no effective antiviral therapy recommended for novel coronavirus pneumonia 2019 (COVID-19). Aims: To assess the safety of ozonized saline solution (O3SS) used as a complementary therapy in adult COVID-19 patients. Methods: Twenty-five adult patients hospitalized with mild to severe symptoms of COVID-19, who met the inclusion criteria and were treated from April 18 to April 26, 2020, at Virgen De La Paloma Hospital, Madrid, Spain were included in this study. Patients were assigned to receive standard care consisting ceftriaxone (250 mg – 2 g twice daily for 7 days) plus azithromycin (500 mg once daily for 5 days), of 200 – 400 mg hydroxychloroquine twice daily for 5-7 days plus tocilizumab 400 mg twice daily for 5 days, low molecular weight heparin and 40 to 60 mg metil-prednisone plus O3SS, 200 mL, 3-5 µg/mL per day for 10 days. No control group was included, the data was compared to clinical trials in this subject. Secondary endpoints assessed included the clinical status of participants, laboratory examinations, and duration of viral shedding. Results: Patients with COVID-19 with mild to severe symptoms who received intravenous O3SS as an adjunct treatment experienced no side effects. The main results of O3SS treatment were a tendency to improve clinical symptoms without side effects. None of the patients treated died. Conclusions: Early evidence of efficacy shown improvements in symptoms such as dyspnea, weakness, and reduction in body temperature were observed and corresponded to improvements in laboratory results including D-dimer, fibrinogen, lactate dehydrogenase, and C-reactive protein. These preliminary data will serve as the basis for a future study of the effectiveness of this therapy.https://jppres.com/jppres/pdf/vol9/jppres20.971_9.2.126.pdfcovid-19ozone therapyozonized saline solutionpneumoniasars-cov-2
spellingShingle Adriana Schwartz
Gregorio Martínez-Sánchez
Alejandra M. de Lucía
Sergio M. Viana
Alina M. Constanta
Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study
Journal of Pharmacy & Pharmacognosy Research
covid-19
ozone therapy
ozonized saline solution
pneumonia
sars-cov-2
title Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study
title_full Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study
title_fullStr Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study
title_full_unstemmed Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study
title_short Complementary application of the ozonized saline solution in mild and severe patients with pneumonia COVID-19: A non-randomized pilot study
title_sort complementary application of the ozonized saline solution in mild and severe patients with pneumonia covid 19 a non randomized pilot study
topic covid-19
ozone therapy
ozonized saline solution
pneumonia
sars-cov-2
url https://jppres.com/jppres/pdf/vol9/jppres20.971_9.2.126.pdf
work_keys_str_mv AT adrianaschwartz complementaryapplicationoftheozonizedsalinesolutioninmildandseverepatientswithpneumoniacovid19anonrandomizedpilotstudy
AT gregoriomartinezsanchez complementaryapplicationoftheozonizedsalinesolutioninmildandseverepatientswithpneumoniacovid19anonrandomizedpilotstudy
AT alejandramdelucia complementaryapplicationoftheozonizedsalinesolutioninmildandseverepatientswithpneumoniacovid19anonrandomizedpilotstudy
AT sergiomviana complementaryapplicationoftheozonizedsalinesolutioninmildandseverepatientswithpneumoniacovid19anonrandomizedpilotstudy
AT alinamconstanta complementaryapplicationoftheozonizedsalinesolutioninmildandseverepatientswithpneumoniacovid19anonrandomizedpilotstudy