Минздрав прокомментировал применение противомалярийного препарата у пациентов с COVID-19
29 мая 2020
Фото: depositphotos.com
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№196, май 2020
1654 просмотров
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Минздрав прокомментировал применение противомалярийного препарата у пациентов с COVID-19
Министерство не планирует отказываться от рекомендации применения противомалярийного препарата гидроксихлорохин при терапии новой коронавирусной инфекции. Сообщение об этом опубликовано 28 мая на сайте Минздрава.
Таким образом Минздрав прокомментировал решение Всемирной организации здравоохранения отказаться от дальнейших исследований применения гидроксихлорохина у пациентов с COVID-19 из‑за кардиотоксичности, которая способна приводить к жизнеугрожающим нарушениям ритма сердца у госпитализированных пациентов.
Министерство отмечает, что включение гидроксихлорохина во временный перечень рекомендованных препаратов для лечения коронавирусной инфекции основано на опыте использования этого ЛС в мировой практике, а также на исследованиях, подтвердивших эффективность препарата в отношении инфекционного агента in vitro.
Минздрав обращает внимание, что в последней версии временных методических рекомендаций указана необходимость контроля сердечного ритма у пациентов, получающих гидроксихлорохин, а также запрет на его прием больными с высоким риском развития аритмий. Кроме этого, поскольку препарат не имеет зарегистрированных показаний для лечения коронавируса, все пациенты дают свое информированное согласие на его применение.
По результатам мониторинга безопасности гидроксихлорохина в период пандемии COVID-19 в России не выявлено летальных исходов, связанных с нарушением ритма у пациентов на фоне приема этого препарата.
Минздрав также заявил, что завершает подготовку седьмой версии Временных методических рекомендаций по диагностике, профилактике и лечению COVID-19. В них будут включены дополнительные критерии для оценки врачом пользы и риска использования гидроксихлорохина, а также меры по мониторингу и профилактике аритмий в период лечения.
Катрен Стиль
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