Serveur d'exploration COVID et hydrochloroquine

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Safety of hydroxychloroquine in healthcare workers for COVID-19 prophylaxis.

Identifieur interne : 000017 ( Main/Exploration ); précédent : 000016; suivant : 000018

Safety of hydroxychloroquine in healthcare workers for COVID-19 prophylaxis.

Auteurs : Atiya R. Faruqui [Inde] ; Denis Xavier [Inde] ; Sandhya K. Kamat [Inde] ; Sujith J. Chandy [Inde] ; Bikash Medhi [Inde] ; Raakhi K. Tripathi [Inde] ; Yashashri C. Shetty [Inde] ; John Michael Raj [Inde] ; Sandeep Kaushal [Inde] ; S. Balakrishnan [Inde] ; Shubham Atal [Inde] ; Santanu K. Tripathi [Inde] ; Dinesh K. Badyal [Inde] ; Harihar Dikshit [Inde] ; Sukalyan Saha Roy [Inde] ; Niyati Trivedi [Inde] ; Suparna Chatterjee [Inde] ; Chetna Desai [Inde] ; C D Tripathi [Inde] ; Nirmala N. Rege [Inde] ; Pooja Gupta [Inde] ; R. Raveendran [Inde] ; Rajni Kaul [Inde] ; Nilima A. Kshirsagar [Inde]

Source :

RBID : pubmed:33818480

Descripteurs français

English descriptors

Abstract

Background & objectives

Hydroxychloroquine (HCQ), reported to inhibit severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) replication in in vitro studies, has been recommended for prophylaxis of COVID-19 in healthcare workers (HCWs). The objective of this study was to assess short-term adverse events (AEs) of HCQ in HCWs.

Methods

This cross-sectional study among consenting HCWs taking prophylaxis and working in hospitals with COVID-19 patients used online forms to collect details of HCWs, comorbidities, prophylactic drugs used and AEs after the first dose of HCQ. Verification of dose and AEs was done by personal contact. Multivariate logistic regression analysis was done to determine the effect of age, gender and dose of HCQ on AE.

Results

Of the 1303 HCWs included, 98.4 per cent (n=1282) took HCQ and 66 per cent (n=861) took 800 mg as first day's dose. Among the 19.9 per cent (n=259) reporting AEs, 1.5 per cent (n=20) took treatment for AE, none were hospitalized and three discontinued HCQ. Gastrointestinal AEs were the most common (172, 13.2%), with less in older [odds ratio (OR) 0.56, 95% confidence interval (CI) 0.35-0.89], with more in females (OR 2.46, 95% CI 1.78-3.38) and in those taking a total dose of 800 mg on day one compared to a lower dose. Hypoglycaemia (1.1%, n=14), cardiovascular events (0.7%, n=9) and other AEs were minimal.

Interpretation & conclusions

HCQ prophylaxis first dose was well tolerated among HCWs as evidenced by a low discontinuation. For adverse effects, a small number required treatment, and none required hospitalization. The study had limitations of convenience sampling and lack of laboratory and electrocardiography confirmation of AEs.


DOI: 10.4103/ijmr.IJMR_2294_20
PubMed: 33818480


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<name sortKey="Medhi, Bikash" sort="Medhi, Bikash" uniqKey="Medhi B" first="Bikash" last="Medhi">Bikash Medhi</name>
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<name sortKey="Shetty, Yashashri C" sort="Shetty, Yashashri C" uniqKey="Shetty Y" first="Yashashri C" last="Shetty">Yashashri C. Shetty</name>
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<name sortKey="Raj, John Michael" sort="Raj, John Michael" uniqKey="Raj J" first="John Michael" last="Raj">John Michael Raj</name>
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<name sortKey="Kaushal, Sandeep" sort="Kaushal, Sandeep" uniqKey="Kaushal S" first="Sandeep" last="Kaushal">Sandeep Kaushal</name>
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<nlm:affiliation>Department of Pharmacology, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology, Dayanand Medical College & Hospital, Ludhiana, Punjab</wicri:regionArea>
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<name sortKey="Balakrishnan, S" sort="Balakrishnan, S" uniqKey="Balakrishnan S" first="S" last="Balakrishnan">S. Balakrishnan</name>
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<nlm:affiliation>Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh</wicri:regionArea>
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<name sortKey="Atal, Shubham" sort="Atal, Shubham" uniqKey="Atal S" first="Shubham" last="Atal">Shubham Atal</name>
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<nlm:affiliation>Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh</wicri:regionArea>
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<name sortKey="Tripathi, Santanu K" sort="Tripathi, Santanu K" uniqKey="Tripathi S" first="Santanu K" last="Tripathi">Santanu K. Tripathi</name>
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<nlm:affiliation>Department of Clinical & Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Clinical & Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal</wicri:regionArea>
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<name sortKey="Badyal, Dinesh K" sort="Badyal, Dinesh K" uniqKey="Badyal D" first="Dinesh K" last="Badyal">Dinesh K. Badyal</name>
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<nlm:affiliation>Department of Pharmacology, Christian Medical College, Ludhiana, Punjab, India.</nlm:affiliation>
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<name sortKey="Roy, Sukalyan Saha" sort="Roy, Sukalyan Saha" uniqKey="Roy S" first="Sukalyan Saha" last="Roy">Sukalyan Saha Roy</name>
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<nlm:affiliation>Department of Pharmacology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology, Indira Gandhi Institute of Medical Science, Patna, Bihar</wicri:regionArea>
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<author>
<name sortKey="Trivedi, Niyati" sort="Trivedi, Niyati" uniqKey="Trivedi N" first="Niyati" last="Trivedi">Niyati Trivedi</name>
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<nlm:affiliation>Department of Pharmacology, Medical College Baroda, Vadodara, Ahmedabad, Gujarat, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology, Medical College Baroda, Vadodara, Ahmedabad, Gujarat</wicri:regionArea>
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<author>
<name sortKey="Chatterjee, Suparna" sort="Chatterjee, Suparna" uniqKey="Chatterjee S" first="Suparna" last="Chatterjee">Suparna Chatterjee</name>
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<nlm:affiliation>Department of Pharmacology, Institute of Postgraduate Medical Education & Research, Kolkata, West Bengal, India.</nlm:affiliation>
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<wicri:regionArea>Department of Pharmacology, Institute of Postgraduate Medical Education & Research, Kolkata, West Bengal</wicri:regionArea>
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<name sortKey="Desai, Chetna" sort="Desai, Chetna" uniqKey="Desai C" first="Chetna" last="Desai">Chetna Desai</name>
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<nlm:affiliation>Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India.</nlm:affiliation>
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<wicri:regionArea>Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat</wicri:regionArea>
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<name sortKey="Tripathi, C D" sort="Tripathi, C D" uniqKey="Tripathi C" first="C D" last="Tripathi">C D Tripathi</name>
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<nlm:affiliation>Department of Pharmacology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi</wicri:regionArea>
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<name sortKey="Rege, Nirmala N" sort="Rege, Nirmala N" uniqKey="Rege N" first="Nirmala N" last="Rege">Nirmala N. Rege</name>
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<nlm:affiliation>Department of Pharmacology & Therapeutics, Seth Gordhandas Sunderdas Medical College & King Edwards Medical Hospital, Mumbai, Maharashtra, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Pharmacology & Therapeutics, Seth Gordhandas Sunderdas Medical College & King Edwards Medical Hospital, Mumbai, Maharashtra</wicri:regionArea>
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<term>COVID-19 (drug therapy)</term>
<term>COVID-19 (prevention & control)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Personnel (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hydroxychloroquine (adverse effects)</term>
<term>Hydroxychloroquine (therapeutic use)</term>
<term>Male (MeSH)</term>
<term>Pre-Exposure Prophylaxis (MeSH)</term>
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<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hydroxychloroquine (effets indésirables)</term>
<term>Hydroxychloroquine (usage thérapeutique)</term>
<term>Mâle (MeSH)</term>
<term>Personnel de santé (MeSH)</term>
<term>Prophylaxie pré-exposition (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<term>Hydroxychloroquine</term>
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<term>COVID-19</term>
</keywords>
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<term>Hydroxychloroquine</term>
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<term>COVID-19</term>
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<term>Femelle</term>
<term>Humains</term>
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<div type="abstract" xml:lang="en">
<p>
<b>Background & objectives</b>
</p>
<p>Hydroxychloroquine (HCQ), reported to inhibit severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) replication in in vitro studies, has been recommended for prophylaxis of COVID-19 in healthcare workers (HCWs). The objective of this study was to assess short-term adverse events (AEs) of HCQ in HCWs.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Methods</b>
</p>
<p>This cross-sectional study among consenting HCWs taking prophylaxis and working in hospitals with COVID-19 patients used online forms to collect details of HCWs, comorbidities, prophylactic drugs used and AEs after the first dose of HCQ. Verification of dose and AEs was done by personal contact. Multivariate logistic regression analysis was done to determine the effect of age, gender and dose of HCQ on AE.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Results</b>
</p>
<p>Of the 1303 HCWs included, 98.4 per cent (n=1282) took HCQ and 66 per cent (n=861) took 800 mg as first day's dose. Among the 19.9 per cent (n=259) reporting AEs, 1.5 per cent (n=20) took treatment for AE, none were hospitalized and three discontinued HCQ. Gastrointestinal AEs were the most common (172, 13.2%), with less in older [odds ratio (OR) 0.56, 95% confidence interval (CI) 0.35-0.89], with more in females (OR 2.46, 95% CI 1.78-3.38) and in those taking a total dose of 800 mg on day one compared to a lower dose. Hypoglycaemia (1.1%, n=14), cardiovascular events (0.7%, n=9) and other AEs were minimal.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Interpretation & conclusions</b>
</p>
<p>HCQ prophylaxis first dose was well tolerated among HCWs as evidenced by a low discontinuation. For adverse effects, a small number required treatment, and none required hospitalization. The study had limitations of convenience sampling and lack of laboratory and electrocardiography confirmation of AEs.</p>
</div>
</front>
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<Month>04</Month>
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<AbstractText Label="Background & objectives" NlmCategory="UNASSIGNED">Hydroxychloroquine (HCQ), reported to inhibit severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) replication in in vitro studies, has been recommended for prophylaxis of COVID-19 in healthcare workers (HCWs). The objective of this study was to assess short-term adverse events (AEs) of HCQ in HCWs.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">This cross-sectional study among consenting HCWs taking prophylaxis and working in hospitals with COVID-19 patients used online forms to collect details of HCWs, comorbidities, prophylactic drugs used and AEs after the first dose of HCQ. Verification of dose and AEs was done by personal contact. Multivariate logistic regression analysis was done to determine the effect of age, gender and dose of HCQ on AE.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">Of the 1303 HCWs included, 98.4 per cent (n=1282) took HCQ and 66 per cent (n=861) took 800 mg as first day's dose. Among the 19.9 per cent (n=259) reporting AEs, 1.5 per cent (n=20) took treatment for AE, none were hospitalized and three discontinued HCQ. Gastrointestinal AEs were the most common (172, 13.2%), with less in older [odds ratio (OR) 0.56, 95% confidence interval (CI) 0.35-0.89], with more in females (OR 2.46, 95% CI 1.78-3.38) and in those taking a total dose of 800 mg on day one compared to a lower dose. Hypoglycaemia (1.1%, n=14), cardiovascular events (0.7%, n=9) and other AEs were minimal.</AbstractText>
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<name sortKey="Faruqui, Atiya R" sort="Faruqui, Atiya R" uniqKey="Faruqui A" first="Atiya R" last="Faruqui">Atiya R. Faruqui</name>
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<name sortKey="Atal, Shubham" sort="Atal, Shubham" uniqKey="Atal S" first="Shubham" last="Atal">Shubham Atal</name>
<name sortKey="Badyal, Dinesh K" sort="Badyal, Dinesh K" uniqKey="Badyal D" first="Dinesh K" last="Badyal">Dinesh K. Badyal</name>
<name sortKey="Balakrishnan, S" sort="Balakrishnan, S" uniqKey="Balakrishnan S" first="S" last="Balakrishnan">S. Balakrishnan</name>
<name sortKey="Chandy, Sujith J" sort="Chandy, Sujith J" uniqKey="Chandy S" first="Sujith J" last="Chandy">Sujith J. Chandy</name>
<name sortKey="Chatterjee, Suparna" sort="Chatterjee, Suparna" uniqKey="Chatterjee S" first="Suparna" last="Chatterjee">Suparna Chatterjee</name>
<name sortKey="Desai, Chetna" sort="Desai, Chetna" uniqKey="Desai C" first="Chetna" last="Desai">Chetna Desai</name>
<name sortKey="Dikshit, Harihar" sort="Dikshit, Harihar" uniqKey="Dikshit H" first="Harihar" last="Dikshit">Harihar Dikshit</name>
<name sortKey="Gupta, Pooja" sort="Gupta, Pooja" uniqKey="Gupta P" first="Pooja" last="Gupta">Pooja Gupta</name>
<name sortKey="Kamat, Sandhya K" sort="Kamat, Sandhya K" uniqKey="Kamat S" first="Sandhya K" last="Kamat">Sandhya K. Kamat</name>
<name sortKey="Kaul, Rajni" sort="Kaul, Rajni" uniqKey="Kaul R" first="Rajni" last="Kaul">Rajni Kaul</name>
<name sortKey="Kaushal, Sandeep" sort="Kaushal, Sandeep" uniqKey="Kaushal S" first="Sandeep" last="Kaushal">Sandeep Kaushal</name>
<name sortKey="Kshirsagar, Nilima A" sort="Kshirsagar, Nilima A" uniqKey="Kshirsagar N" first="Nilima A" last="Kshirsagar">Nilima A. Kshirsagar</name>
<name sortKey="Medhi, Bikash" sort="Medhi, Bikash" uniqKey="Medhi B" first="Bikash" last="Medhi">Bikash Medhi</name>
<name sortKey="Raj, John Michael" sort="Raj, John Michael" uniqKey="Raj J" first="John Michael" last="Raj">John Michael Raj</name>
<name sortKey="Raveendran, R" sort="Raveendran, R" uniqKey="Raveendran R" first="R" last="Raveendran">R. Raveendran</name>
<name sortKey="Rege, Nirmala N" sort="Rege, Nirmala N" uniqKey="Rege N" first="Nirmala N" last="Rege">Nirmala N. Rege</name>
<name sortKey="Roy, Sukalyan Saha" sort="Roy, Sukalyan Saha" uniqKey="Roy S" first="Sukalyan Saha" last="Roy">Sukalyan Saha Roy</name>
<name sortKey="Shetty, Yashashri C" sort="Shetty, Yashashri C" uniqKey="Shetty Y" first="Yashashri C" last="Shetty">Yashashri C. Shetty</name>
<name sortKey="Tripathi, C D" sort="Tripathi, C D" uniqKey="Tripathi C" first="C D" last="Tripathi">C D Tripathi</name>
<name sortKey="Tripathi, Raakhi K" sort="Tripathi, Raakhi K" uniqKey="Tripathi R" first="Raakhi K" last="Tripathi">Raakhi K. Tripathi</name>
<name sortKey="Tripathi, Santanu K" sort="Tripathi, Santanu K" uniqKey="Tripathi S" first="Santanu K" last="Tripathi">Santanu K. Tripathi</name>
<name sortKey="Trivedi, Niyati" sort="Trivedi, Niyati" uniqKey="Trivedi N" first="Niyati" last="Trivedi">Niyati Trivedi</name>
<name sortKey="Xavier, Denis" sort="Xavier, Denis" uniqKey="Xavier D" first="Denis" last="Xavier">Denis Xavier</name>
</country>
</tree>
</affiliations>
</record>

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