ЛІКУВАННЯ ХВОРИХ З COVID-19 НА СУЧАСНОМУ ЕТАПІ

Автор(и)

  • M. A. Andreychyn Тернопільський національний медичний університет ім. І.Я. Горбачевського https://orcid.org/0000-0003-0154-730X
  • N. A. Nychyk Тернопільський національний медичний університет ім. І.Я. Горбачевського
  • N. H. Zavidniuk Тернопільський національний медичний університет ім. І.Я. Горбачевського
  • Ia. I. Iosyk Тернопільський національний медичний університет ім. І.Я. Горбачевського
  • I. S. Ischuk Тернопільський національний медичний університет ім. І.Я. Горбачевського

DOI:

https://doi.org/10.11603/1681-2727.2020.3.11548

Ключові слова:

COVID-19, лікування

Анотація

На підставі огляду наукової літератури висвітлено сучасні підходи до лікування хворих на COVID-19. Наведено показання до госпіталізації хворих і дані про ефективність препаратів з різним механізмом дії, враховуючи міжнародний досвід. Відзначено, що широка апробація ремдезивіру, гідроксихлорохіну, лопінавіру-ритонавіру, інтерферонів не дала переконливих результатів. Надія з’явилася щодо використання плазми реконвалесцентів і моноклональних антитіл до вірусу, які, однак, потребують ретельної багатоцентрової апробації. Водночас, певних успіхів досягнуто в патогенетичній терапії. Чітко обґрунтовано показання, строки призначення і оптимальні дози кортикостероїдів, інгібіторів інтерлейкінів (тоцилізумаб), антикоагулянтів, переважно низькомолекулярних похідних гепарину, під контролем рівня D-димеру та інших показників гемостазу. Антибіотики рекомендовано призначати при приєднанні бактерійної ко-інфекції, що спостерігається нечасто. Стаття адресована головно для лікарів, які працюють з хворими на COVID-19.

Біографії авторів

M. A. Andreychyn, Тернопільський національний медичний університет ім. І.Я. Горбачевського

академік НАМНУ, д. мед. н., завідувач кафедри інфекційних хвороб з епідеміологією, шкірними і венеричними хворобами Тернопільського національного медичного університету ім. І.Я. Горбачевського

N. A. Nychyk, Тернопільський національний медичний університет ім. І.Я. Горбачевського

к. мед. н., доцент кафедри інфекційних хвороб з епідеміологією, шкірними і венеричними хворобами Тернопільського національного медичного університету ім. І.Я. Горбачевського

N. H. Zavidniuk, Тернопільський національний медичний університет ім. І.Я. Горбачевського

к. мед. н., доцент кафедри інфекційних хвороб з епідеміологією, шкірними і венеричними хворобами Тернопільського національного медичного університету ім. І.Я. Горбачевського

Ia. I. Iosyk, Тернопільський національний медичний університет ім. І.Я. Горбачевського

к. мед. н., асистент кафедри інфекційних хвороб з епідеміологією, шкірними і венеричними хворобами Тернопільського національного медичного університету ім. І.Я. Горбачевського

I. S. Ischuk, Тернопільський національний медичний університет ім. І.Я. Горбачевського

к. мед. н., доцент кафедри інфекційних хвороб з епідеміологією, шкірними і венеричними хворобами Тернопільського національного медичного університету ім. І.Я. Горбачевського

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2020-12-03

Як цитувати

Andreychyn, M. A., Nychyk, N. A., Zavidniuk, N. H., Iosyk, I. I., & Ischuk, I. S. (2020). ЛІКУВАННЯ ХВОРИХ З COVID-19 НА СУЧАСНОМУ ЕТАПІ. Інфекційні хвороби, (3), 5–17. https://doi.org/10.11603/1681-2727.2020.3.11548

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