Evidence map›Paper›PMID 33945498›Full record

Observational studyJMIR public health and surveillance2021

An Overview of the Treatment Options Used for the Management of COVID-19 in Pakistan: Retrospective Observational Study.

Hashaam Akhtar, Samar Akhtar, Fazal-Ul Rahman, Maham Afridi, Sundas Khalid, Sabahat Ali, Nasim Akhtar, Yousef S Khader, Hamaad Ahmad, Muhammad Mujeeb Khan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in JMIR public health and surveillance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

10 authors at 6 institutions in 2 countries.

Hashaam AkhtarYusra Institute of Pharmaceutical Sciences, Yusra Medical and Dental College, Islamabad, Pakistan.ORCID 0000-0003-1913-831X
Samar AkhtarYusra Institute of Pharmaceutical Sciences, Yusra Medical and Dental College, Islamabad, Pakistan.ORCID 0000-0001-8341-672X
Fazal-Ul RahmanDepartment of Medicine, Benazir Bhutto Hospital, Rawalpindi, Pakistan.ORCID 0000-0003-4374-511X
Maham AfridiDepartment of Biotechnology, Quaid-i-Azam University, Islamabad, Pakistan.ORCID 0000-0002-1750-9829
Sundas KhalidSchool of Chemical and Materials Engineering, National University of Science and Technology, Islamabad, Pakistan.ORCID 0000-0003-1801-2133
Sabahat AliDepartment of Gynecology and Obstetrics, Pakistan Air Force Hospital, Islamabad, Pakistan.ORCID 0000-0002-8047-6249
Nasim AkhtarDepartment of Infectious Diseases, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.ORCID 0000-0002-5344-2027
Yousef S KhaderMedical Education and Biostatistics, Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.ORCID 0000-0002-7830-6857
Hamaad AhmadYusra Institute of Pharmaceutical Sciences, Yusra Medical and Dental College, Islamabad, Pakistan.ORCID 0000-0002-2891-8169
Muhammad Mujeeb KhanDepartment of Infectious Diseases, Rawalpindi Medical University, Rawalpindi, Pakistan.ORCID 0000-0003-1408-069X
Air University · PKBenazir Bhutto Hospital · PKJordan University of Science and Technology · JOPakistan Institute of Medical Sciences · PKQuaid-i-Azam University · PKRawalpindi Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the first reports of COVID-19 infection, the foremost requirement has been to identify a treatment regimen that not only fights the causative agent but also controls the associated complications of the infection. Due to the time-consuming process of drug discovery, physicians have used readily available drugs and therapies for treatment of infections to minimize the death toll.

objectiveThe aim of this study is to provide a snapshot analysis of the major drugs used in a cohort of 1562 Pakistani patients during the period from May to July 2020, when the first wave of COVID-19 peaked in Pakistan.

methodsA retrospective observational study was performed to provide an overview of the major drugs used in a cohort of 1562 patients with COVID-19 admitted to the four major tertiary-care hospitals in the Rawalpindi-Islamabad region of Pakistan during the peak of the first wave of COVID-19 in the country (May-July 2020).

resultsAntibiotics were the most common choice out of all the therapies employed, and they were used as first line of treatment for COVID-19. Azithromycin was the most prescribed drug for treatment. No monthly trend was observed in the choice of antibiotics, and these drugs appeared to be a random but favored choice throughout the months of the study. It was also noted that even antibiotics used for multidrug resistant infections were prescribed irrespective of the severity or progression of the infection. The results of the analysis are alarming, as this approach may lead to antibiotic resistance and complications in immunocompromised patients with COVID-19. A total of 1562 patients (1064 male, 68.1%, and 498 female, 31.9%) with a mean age of 47.35 years (SD 17.03) were included in the study. The highest frequency of patient hospitalizations occurred in June (846/1562, 54.2%).

conclusionsGuidelines for a targeted treatment regime are needed to control related complications and to limit the misuse of antibiotics in the management of COVID-19.

Indexed as

COVID-19 Drug TreatmentAdultAnti-Bacterial AgentsCOVID-19FemaleHumansMaleMiddle AgedPakistanRetrospective StudiesTertiary Care CentersAnti-Bacterial Agentsantibiotic resistanceantibioticsCOVID-19first wavemultidrug resistant infectionsPakistan

Identifiers

PMID33945498
PMCPMC8163494
OpenAlexW3158513344

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.