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Effectiveness of a multidrug therapy consisting of Ivermectin, Azithromycin, Montelukast, and Acetylsalicylic acid to prevent hospitalization and death among ambulatory COVID-19 cases in Tlaxcala, Mexico
RENE LIMA MORALES
PABLO MENDEZ HERNANDEZ
PATRICIA OSORNO ROMERO
CHRISTIAN RONAL SANCHO HERNÁNDEZ
ELIZABETH CUECUECHA RUGERIO
ADRIÁN NAVA ZAMORA
DIEGO ROLANDO HERNANDEZ GALDAMEZ
DANIELA KAROLA ROMO DUEÑAS
Jorge Salmerón
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1016/j.ijid.2021.02.014
Objective: There is an urgent need for effective treatments to prevent or attenuate lung and systemic inflammation, endotheliitis, and thrombosis related to COVID-19. This study aimed to assess the effectiveness of a multidrug-therapy consisting of Ivermectin, Azithromycin, Montelukast, and Acetylsalicylic acid ("TNR4" therapy) to prevent hospitalization and death among ambulatory COVID- 19 cases in Tlaxcala, Mexico. Design and methods: A comparative effectiveness study was performed among 768 confirmed SARS-CoV- 2 cases aged 18–80 years, who received ambulatory care at the Ministry of Health of Tlaxcala. A total of 481 cases received the TNR4 therapy, while 287 received another treatment (comparison group). All participants received home visits and/or phone calls for clinical evaluation during the 14 days after enrollment. Results: Nearly 85% of cases who received the TNR4 recovered within 14 days compared to 59% in the comparison group. The likelihood of recovery within 14 days was 3.4 times greater among the TNR4 group than in the comparison group. Patients treated with TNR4 had a 75% and 81% lower risk of being hospitalized or death, respectively, than the comparison group. Conclusions: TNR4 therapy improved recovery and prevented the risk of hospitalization and death among ambulatory COVID-19 cases.
International Journal of Infectious Diseases
04-02-2021
Artículo
https://www.ijidonline.com/
Inglés
Effectiveness of a multidrug therapy consisting of Ivermectin, Azithromycin, Montelukast, and Acetylsalicylic acid to prevent hospitalization and death among ambulatory COVID-19 cases in Tlaxcala, Mexico. Lima-Morales, René et al. International Journal of Infectious Diseases, Volume 105, 598 - 605
VIRUS RESPIRATORIOS
Versión aceptada
acceptedVersion - Versión aceptada
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