Evidence map›Paper›PMID 32510734›Full record

ReviewDermatologic therapy2020

Azithromycin and COVID-19: Prompt early use at first signs of this infection in adults and children, an approach worthy of consideration.

Robert A Schwartz, Robert M Suskind

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Dermatologic therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04699097 (Azitromycin Use in COVID-19 Positive Pediatric Patients; Effect on Ventricle Repolarization), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 15% 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.

NCT04699097 completednot on this map

Azitromycin Use in COVID-19 Positive Pediatric Patients; Effect on Ventricle Repolarization

TypeobservationalSponsorKayseri City HospitalRan2020 to 2020Enrolled105ConditionsAzithromycin Adverse Reaction, Covid19, Long QT SyndromeArmsAzithromycin
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Evaluation and Optimization of Azithromycin Removal by Raw and Alkali-Modified Peanut Shells Using Taguchi-Based Experimental Design Approach.Water environment research : a research publication of the Water Environment Federation · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Effects of azithromycin on ventricular repolarization in children with COVID-19.Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology · 2022
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Repurposing of antibiotics for clinical management of COVID-19: a narrative review.Annals of clinical microbiology and antimicrobials · 2021
    Review
  18. Observational
  19. Review
  20. Article
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

2 authors at 2 institutions in 1 country.

Robert A SchwartzProfessor of Dermatology and Pathology, Rutgers University New Jersey Medical School, Newark, New Jersy, USA.ORCID https://orcid.org/0000-0003-3036-3825
Robert M SuskindProfessor of Pediatrics and Founding Dean Emeritus, California University of Science of Medicine, San Bernardino, California, USA.
California State University, San Bernardino · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The devastating effects of the coronavirus designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have led to urgent attempts to find effective therapeutic agents for inpatient and outpatient treatment of COVID-19. Initial enthusiasm for the combination of hydroxychloroquine and azithromycin has abated. However, as a result of positive clinical experience with azithromycin used alone during the first few days of the flu-like illness caused by this coronavirus, we recommend formal clinical trials using azithromycin early in the course of a COVID-19 infection. There is one clinical trial initiated, the individually randomized, telemedicine-based, "Azithromycin for COVID-19 Treatment in Outpatients Nationwide" based at the University of California San Francisco. This placebo-controlled trial is designed to determine the efficacy of a single 1.2-g dose of oral azithromycin to prevent COVID-19 patient progression to hospitalization. We recommend formal clinical trials of azithromycin in its prepackaged form at the first sign of COVID-19 infection in adults and children, using an initial adult dose of 500 mg followed by 250 mg per day for 4 days, a total cumulative dose of 1.5 g, and for children 5 to 18 years of age, 10 mg/kg on the first day followed by 5 mg/kg for 4 days.

Indexed as

BetacoronavirusAdultAnti-Bacterial AgentsAzithromycinChildCoronavirus InfectionsCOVID-19Dose-Response Relationship, DrugHumansPandemicsPneumonia, ViralSARS-CoV-2Anti-Bacterial AgentsAzithromycinazithromycinCOVID-19hydroxychloroquinemacrolideSARS-CoV-2

Identifiers

PMID32510734
PMCPMC7300563
OpenAlexW3034020805

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.