Inhaled corticosteroids for the treatment of COVID-19

被引:12
作者
Bafadhel, Mona [1 ]
Faner, Rosa [2 ]
Taille, Camille [3 ]
Russell, Richard E. K. [1 ]
Welte, Tobias [4 ]
Barnes, Peter J. [5 ]
Agusti, Alvar [6 ,7 ]
机构
[1] Kings Coll London, Fac Life Sci & Med, Kings Ctr Lung Hlth, Sch Immunol & Microbial Sci, London, England
[2] IDIBAPS, CIBER Enfermedades Resp, Barcelona, Spain
[3] Univ Paris, Univ Hosp Bichat Claude Bernard, AP HP Nord, Dept Pulm Dis, Paris, France
[4] Hannover Univ, Dept Pulm & Infect Dis, Sch Med, Hannover, Germany
[5] Imperial Coll London, Natl Heart & Lung Inst, London, England
[6] Univ Barcelona, Hosp Clin Barcelona, Resp Inst, Catedra Salud Resp,IDIBAPS, Barcelona, Spain
[7] CIBERES, Barcelona, Spain
关键词
OBSTRUCTIVE PULMONARY-DISEASE; ASTHMA EXACERBATIONS; RESPIRATORY VIRUSES; COMORBID ASTHMA; CORONAVIRUS; OUTCOMES; RISK; BUDESONIDE; EOSINOPHILIA; COMBINATION;
D O I
10.1183/16000617.0099-2022
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has caused severe illness and mortality for millions worldwide. Despite the development, approval and rollout of vaccination programmes globally to prevent infection by SARS-CoV-2 and the development of coronavirus disease 2019 (COVID-19), treatments are still urgently needed to improve outcomes. Early in the pandemic it was observed that patients with pre-existing asthma or COPD were underrepresented among those with COVID-19. Evidence from clinical studies indicates that the inhaled corticosteroids (ICS) routinely taken for asthma and COPD could have had a protective role in preventing severe COVID-19 and, therefore, may be a promising treatment for COVID-19. This review summarises the evidence supporting the beneficial effects of ICS on outcomes in patients with COVID-19 and explores the potential protective mechanisms.
引用
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页数:13
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