Evidence map›Paper›PMID 32328850›Full record

ReviewEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2020

Analysis of the susceptibility to COVID-19 in pregnancy and recommendations on potential drug screening.

Xiaoxuan Zhao, Yuepeng Jiang, Yang Zhao, Hongyan Xi, Chang Liu, Fan Qu, Xiaoling Feng

Open access · bronzeAbstract readReview
In one paragraph

Review in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 5 pooled it
14.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 5 syntheses or guidelines pooled it, 174 citations in OpenAlex.

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  12. The experience of pregnancy in the COVID-19 pandemic.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Xiaoxuan ZhaoHeilongjiang University of Chinese Medicine, Harbin, 150040, China.
Yuepeng JiangZhejiang Chinese Medical University, Hangzhou, 310053, China.
Yang ZhaoHebei College of Traditional Chinese Medicine, Shijiazhuang, 050000, China.
Hongyan XiHeilongjiang University of Chinese Medicine, Harbin, 150040, China.
Chang LiuZhejiang Chinese Medical University, Hangzhou, 310053, China.
Fan QuWomen's Hospital, School of Medicine, Zhejiang University, Hangzhou, 310006, China. syqufan@zju.edu.cn.
Xiaoling FengFirst Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150040, China. Doctorfxl@163.com.
Heilongjiang University of Chinese Medicine · CNZhejiang Chinese Medical University · CNFirst Affiliated Hospital of Heilongjiang University of Chinese Medicine · CNHebei University of Chinese Medicine · CNWomen's Hospital, School of Medicine, Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To analyze the susceptibility of SARS-CoV-2 in pregnancy and the drugs that can be used to treat pregnancy with COVID-19, so as to provide evidence for drug selection in clinic. By reviewing the existing literature, this paper analyzes the susceptibility of pregnant women to virus, especially to SARS-CoV-2, from the aspects of anatomical, reproductive endocrine and immune changes during pregnancy and screens effective and fetal-safe treatments from the existing drugs. The anatomical structure of the respiratory system is changed during pregnancy, and the virus transmitted by droplets and aerosols is more easily inhaled by pregnant women and is difficult to remove. Furthermore, the prognosis is worse after infection when compared with non-pregnancy women. And changes in reproductive hormones and immune systems during pregnancy collectively make them more susceptible to certain infections. More importantly, angiotensin-converting enzyme (ACE)-2, the SARS-CoV-2 receptor, has been proven highly increased during pregnancy, which may contribute to the susceptibility to SARS-CoV-2. When it comes to treatment, specific drugs for COVID-19 have not been found at present, and taking old drugs for new use in treating COVID-19 has become an emergency method for the pandemic. Particularly, drugs that show superior maternal and fetal safety are worthy of consideration for pregnant women with COVID-19, such as chloroquine, metformin, statins, lobinavir/ritonavir, glycyrrhizic acid, and nanoparticle-mediated drug delivery (NMDD), etc. Pregnant women are susceptible to COVID-19, and special attention should be paid to the selection of drugs that are both effective for maternal diseases and friendly to the fetus. However, there are still many deficiencies in the study of drug safety during pregnancy, and broad-spectrum, effective and fetal-safe drugs for pregnant women need to be developed so as to cope with more infectious diseases in the future.

Indexed as

Cardiovascular Physiological PhenomenaRespiratory Physiological PhenomenaAngiotensin-Converting Enzyme 2Anti-Inflammatory AgentsAntimalarialsAntiviral AgentsBasal MetabolismBetacoronavirusChloroquineCongenital AbnormalitiesCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentDisease SusceptibilityDrug CombinationsDrug Delivery SystemsACE2 protein, humanAngiotensin-Converting Enzyme 2Anti-Inflammatory AgentsAntimalarialsAntiviral AgentsChloroquineDrug CombinationsGlycyrrhizic AcidHydroxymethylglutaryl-CoA Reductase InhibitorsHypoglycemic AgentsInterferon Type ILopinavirlopinavir-ritonavir drug combinationMetforminPeptidyl-Dipeptidase AProgesteroneRitonavirSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Antiviral treatmentFetal safetyNew coronavirus diseasePregnancyVirus susceptibility

Identifiers

PMID32328850
PMCPMC7178925
OpenAlexW3019335365

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.