Evidence map›Paper›PMID 33818480›Full record

ArticleThe Indian journal of medical research

Safety of hydroxychloroquine in healthcare workers for COVID-19 prophylaxis.

Atiya R Faruqui, Denis Xavier, Sandhya K Kamat, Sujith J Chandy, Bikash Medhi, Raakhi K Tripathi, Yashashri C Shetty, John Michael Raj, Sandeep Kaushal, S Balakrishnan and 14 more

Open access · diamondAbstract read
In one paragraph

Article in The Indian journal of medical research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Maoto, a traditional herbal medicine, for post-exposure prophylaxis for Japanese healthcare workers exposed to COVID-19: A single center study.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
    Article
  3. Review
  4. 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

24 authors at 15 institutions in 1 country.

Atiya R FaruquiDepartment of Pharmacology, St. John's Medical College, Bengaluru, Karnataka, India.
Denis XavierDepartment of Pharmacology, St. John's Medical College, Bengaluru, Karnataka, India.
Sandhya K KamatDepartment of Pharmacology & Therapeutics, Seth Gordhandas Sunderdas Medical College & King Edwards Medical Hospital, Mumbai, Maharashtra, India.
Sujith J ChandyDepartment of Pharmacology & Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India.
Bikash MedhiDepartment of Pharmacology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Raakhi K TripathiDepartment of Pharmacology & Therapeutics, Seth Gordhandas Sunderdas Medical College & King Edwards Medical Hospital, Mumbai, Maharashtra, India.
Yashashri C ShettyDepartment of Pharmacology & Therapeutics, Seth Gordhandas Sunderdas Medical College & King Edwards Medical Hospital, Mumbai, Maharashtra, India.
John Michael RajDepartment of Biostatistics, St. John's Medical College, Bengaluru, Karnataka, India.
Sandeep KaushalDepartment of Pharmacology, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.
S BalakrishnanDepartment of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Shubham AtalDepartment of Pharmacology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Santanu K TripathiDepartment of Clinical & Experimental Pharmacology, School of Tropical Medicine, Kolkata, West Bengal, India.
Dinesh K BadyalDepartment of Pharmacology, Christian Medical College, Ludhiana, Punjab, India.
Harihar DikshitDepartment of Pharmacology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India.
Sukalyan Saha RoyDepartment of Pharmacology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India.
Niyati TrivediDepartment of Pharmacology, Medical College Baroda, Vadodara, Ahmedabad, Gujarat, India.
Suparna ChatterjeeDepartment of Pharmacology, Institute of Postgraduate Medical Education & Research, Kolkata, West Bengal, India.
Chetna DesaiDepartment of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India.
C D TripathiDepartment of Pharmacology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Nirmala N RegeDepartment of Pharmacology & Therapeutics, Seth Gordhandas Sunderdas Medical College & King Edwards Medical Hospital, Mumbai, Maharashtra, India.
Pooja GuptaDepartment of Pharmacology, All India Institute of Medical Sciences, New Delhi, India.
R RaveendranDepartment of Pharmacology, Jawaharlal Institute of Postgraduate Education & Research, Puducherry, India.
Rajni KaulDivision of Basic Medical Sciences, New Delhi, India.
Nilima A KshirsagarNational Chair Clinical Pharmacology, Indian Council for Medical Research, New Delhi, India.
King Edward Memorial Hospital and Seth G.S. Medical College · INSt.John's Medical College Hospital · INAll India Institute of Medical Sciences · INAll India Institute of Medical Sciences Bhopal · INIndira Gandhi Institute of Medical Sciences · INB.J. Medical College · INChandigarh University · INChristian Medical College · INChristian Medical College & Hospital · INDayanand Medical College & Hospital · INIndian Council of Medical Research · INInstitute of Post Graduate Medical Education and Research · INITPEnergised Group (India) · INSir Sayajirao General Hospital Medical College · INVardhman Mahavir Medical College & Safdarjung Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesHydroxychloroquine (HCQ), reported to inhibit severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) replication in in vitro studies, has been recommended for prophylaxis of COVID-19 in healthcare workers (HCWs). The objective of this study was to assess short-term adverse events (AEs) of HCQ in HCWs.

methodsThis cross-sectional study among consenting HCWs taking prophylaxis and working in hospitals with COVID-19 patients used online forms to collect details of HCWs, comorbidities, prophylactic drugs used and AEs after the first dose of HCQ. Verification of dose and AEs was done by personal contact. Multivariate logistic regression analysis was done to determine the effect of age, gender and dose of HCQ on AE.

resultsOf the 1303 HCWs included, 98.4 per cent (n=1282) took HCQ and 66 per cent (n=861) took 800 mg as first day's dose. Among the 19.9 per cent (n=259) reporting AEs, 1.5 per cent (n=20) took treatment for AE, none were hospitalized and three discontinued HCQ. Gastrointestinal AEs were the most common (172, 13.2%), with less in older [odds ratio (OR) 0.56, 95% confidence interval (CI) 0.35-0.89], with more in females (OR 2.46, 95% CI 1.78-3.38) and in those taking a total dose of 800 mg on day one compared to a lower dose. Hypoglycaemia (1.1%, n=14), cardiovascular events (0.7%, n=9) and other AEs were minimal. INTERPRETATION &

conclusionsHCQ prophylaxis first dose was well tolerated among HCWs as evidenced by a low discontinuation. For adverse effects, a small number required treatment, and none required hospitalization. The study had limitations of convenience sampling and lack of laboratory and electrocardiography confirmation of AEs.

Indexed as

COVID-19 Drug TreatmentHealth PersonnelHydroxychloroquineCOVID-19Cross-Sectional StudiesFemaleHumansMalePre-Exposure ProphylaxisHydroxychloroquineAdverse eventschloroquinecoronavirusCOVID-19healthcare workershydroxychloroquineprophylaxisrational

Identifiers

PMID33818480
PMCPMC8184065
OpenAlexW3142373461

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.