The role of teicoplanin in the treatment of SARS-CoV-2 infection : A retrospective study in critically ill COVID-19 patients (Tei-COVID study)

© 2021 Wiley Periodicals LLC..

Teicoplanin has a potential antiviral activity expressed against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and was suggested as a complementary option to treat coronavirus disease 2019 (COVID-19) patients. In this multicentric, retrospective, observational research the aim was to evaluate the impact of teicoplanin on the course of COVID-19 in critically ill patients. Fifty-five patients with severe COVID-19, hospitalized in the intensive care units (ICUs) and treated with best available therapy were retrospectively analysed. Among them 34 patients were also treated with teicoplanin (Tei-COVID group), while 21 without teicoplanin (control group). Crude in-hospital Day-30 mortality was lower in Tei-COVID group (35.2%) than in control group (42.8%), however not reaching statistical significance (p = .654). No statistically significant differences in length of stay in the ICU were observed between Tei-COVID group and control group (p = .248). On Day 14 from the ICU hospitalization, viral clearance was achieved in 64.7% patients of Tei-COVID group and 57.1% of control group, without statistical difference. Serum C-reactive protein level was significantly reduced in Tei-COVID group compared to control group, but not other biochemical parameters. Finally, Gram-positive were the causative pathogens for 25% of BSIs in Tei-COVID group and for 70.6% in controls. No side effects related to teicoplanin use were observed. Despite several limitations require further research, in this study the use of teicoplanin is not associated with a significant improvement in outcomes analysed. The antiviral activity of teicoplanin against SARS-CoV-2, previously documented, is probably more effective at early clinical stages.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:93

Enthalten in:

Journal of medical virology - 93(2021), 7 vom: 04. Juli, Seite 4319-4325

Sprache:

Englisch

Beteiligte Personen:

Ceccarelli, Giancarlo [VerfasserIn]
Alessandri, Francesco [VerfasserIn]
Oliva, Alessandra [VerfasserIn]
Borrazzo, Cristian [VerfasserIn]
Dell'Isola, Serena [VerfasserIn]
Ialungo, Anna Maria [VerfasserIn]
Rastrelli, Elena [VerfasserIn]
Pelli, Massimiliano [VerfasserIn]
Raponi, Giammarco [VerfasserIn]
Turriziani, Ombretta [VerfasserIn]
Ruberto, Franco [VerfasserIn]
Rocco, Monica [VerfasserIn]
Pugliese, Francesco [VerfasserIn]
Russo, Alessandro [VerfasserIn]
d'Ettorre, Gabriella [VerfasserIn]
Venditti, Mario [VerfasserIn]

Links:

Volltext

Themen:

61036-62-2
9007-41-4
Antiviral Agents
C-Reactive Protein
COVID-19
Glycopeptide
ICU
Intensive care unit
Journal Article
Multicenter Study
Observational Study
Pneumonia
SARS-CoV-2
Teicoplanin

Anmerkungen:

Date Completed 08.06.2021

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jmv.26925

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322324920