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Treatment of COVID-19: old tricks for new challenges

Anne Catherine Cunningham, Hui Poh Goh, David Koh

Critical Care · 2020 · CC BY

doi:10.1186/s13054-020-2818-6

Abstract

Challenges in treating COVID-19Coronavirus disease (COVID-19), which appeared in December 2019, presents a global challenge, particularly in the rapid increase of critically ill patients with pneumonia and absence of definitive treatment.To date, over 81,000 cases have been confirmed, with over 2700 deaths.The mortality appears to be around 2%; early published data indicate 25.9% with SARS-CoV-2 pneumonia required ICU admission and 20.1% developed acute respiratory distress syndrome [1].There is presently no vaccine or specific anti-viral drug regime used to treat critically ill patients.The management of patients mainly focuses on the provision of supportive care, e.g., oxygenation, ventilation, and fluid management.Combination treatment of low-dose systematic corticosteroids and anti-virals and atomization inhalation of interferon have been encouraged as part of critical COVID-19 management [2].Other reported therapeutic agents that are used for the treatment of seriously ill patients have been noted in Table 1.

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