Evidence map›Paper›PMID 33465426›Full record

Observational studyPulmonary pharmacology & therapeutics2021

Antihistamines and azithromycin as a treatment for COVID-19 on primary health care - A retrospective observational study in elderly patients.

Juan Ignacio Morán Blanco, Judith A Alvarenga Bonilla, Sakae Homma, Kazuo Suzuki, Philip Fremont-Smith, Karina Villar Gómez de Las Heras

2 registry-linked trialsOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Pulmonary pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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.

NCT04367883 recruitingnot on this map

Evaluation of Influenza Vaccination and Treatment With ACEI and ARB in the Evolution of SARS-CoV2 Infection

TypeobservationalSponsorConsorci Sanitari de TerrassaRan2020 to 2028Enrolled3,000ConditionsCOVID19, Influenza Vaccination, ACE Inhibitors, ARBArmsAntihistamine, Amantadine, ACEI, ARB, Influenza vaccine and COVID
NCT05504057 recruitingnot on this map

Evaluation of Treatments With Antihistamines and Amantadine in the Evolution of the SARS-CoV-2 Infection

TypeobservationalSponsorConsorci Sanitari de TerrassaRan2020 to 2028Enrolled140,660ConditionsCOVID-19ArmsAntihistamine, Amantadine
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

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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

6 authors at 5 institutions in 3 countries.

Juan Ignacio Morán BlancoServicio de Salud de Castilla-La Mancha (SESCAM), Toledo, Spain; Centro de Salud de Yepes, Av. Santa Reliquia, 26, 45313, Yepes, Toledo, Spain.
Judith A Alvarenga BonillaServicio de Salud de Castilla-La Mancha (SESCAM), Toledo, Spain; Centro de Salud de Yepes, Av. Santa Reliquia, 26, 45313, Yepes, Toledo, Spain.
Sakae HommaDepartment of Advanced and Integrated Interstitial Lung Diseases Research, School of Medicine, Toho University, Ota-ku, Tokyo, 143-8540, Japan.
Kazuo SuzukiAsia International Institute of Infectious Disease Control, and Department of Health Protection, Graduate School of Medicine, Teikyo University, Itabashi-ku, Tokyo, 173-8605, Japan.
Philip Fremont-SmithMassachusetts Institute of Technology Lincoln Laboratory, Lexington, MA, USA.
Karina Villar Gómez de Las HerasDelegación Provincial de la Consejería de Sanidad. Servicio de Salud Pública, C/ Río Guadalmena, 2, 45007, Toledo, Spain. Electronic address: kvillar@jccm.es.
Servicio de Salud de Castilla La Mancha · ESConsejería de Educación de la Junta de Castilla y León · ESMIT Lincoln Laboratory · USTeikyo University · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBetween March and April 2020, 84 elderly patients with suspected COVID-19 living in two nursing homes of Yepes, Toledo (Spain) were treated early with antihistamines (dexchlorpheniramine, cetirizine or loratadine), adding azithromycin in the 25 symptomatic cases. The outcomes are retrospectively reported. The primary endpoint is the fatality rate of COVID-19. The secondary endpoints are the hospital and ICU admission rates. Endpoints were compared with the official Spanish rates for the elderly. The mean age of our population was 85 and 48% were over 80 years old. No hospital admissions, deaths, nor adverse drug effects were reported in our patient population. By the end of June, 100% of the residents had positive serology for COVID-19. Although clinical trials are needed to determine the efficacy of both drugs in the treatment of COVID-19, this analysis suggests that primary care diagnosis and treatment with antihistamines, plus azithromycin in selected cases, may treat COVID-19 and prevent progression to severe disease in elderly patients.

Indexed as

COVID-19 Drug TreatmentAgedAged, 80 and overAzithromycinCOVID-19FemaleHistamine AntagonistsHumansMaleMiddle AgedPrimary Health CareRetrospective StudiesSARS-CoV-2SpainTreatment OutcomeAzithromycinHistamine AntagonistsAntihistaminesAzithromycinCoronavirusElderlySARS-CoV-2

Identifiers

PMID33465426
PMCPMC7833340
OpenAlexW3122698449

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.