Evidence map›Paper›PMID 34815671›Full record

ArticleTherapeutics and clinical risk management2021

Safety of Chloroquine or Hydroxychloroquine Plus Azithromycin for the Treatment of COVID-19 Patients in Burkina Faso: An Observational Prospective Cohort Study.

Toussaint Rouamba, Houreratou Barry, Esperance Ouédraogo, Marc Christian Tahita, Nobila Valentin Yaméogo, Armel Poda, Arnaud Eric Diendéré, Abdoul-Salam Ouedraogo, Innocent Valea, Amariane M Koné and 11 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Article
  3. Assessment of Recovery Time, Worsening, and Death among Inpatients and Outpatients with COVID-19, Treated with Hydroxychloroquine or Chloroquine plus Azithromycin Combination in Burkina Faso.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Observational
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

21 authors at 5 institutions in 1 country.

Toussaint Rouamba *Institut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.ORCID 0000-0003-0594-3887
Houreratou Barry *Institut National de Santé Publique, Centre Muraz, Bobo-Dioulasso, Burkina Faso.ORCID 0000-0001-8114-1240
Esperance OuédraogoInstitut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.
Marc Christian TahitaInstitut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.
Nobila Valentin YaméogoCentre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Armel PodaCentre Hospitalier Universitaire Sourou Sanon, Bobo-Dioulasso, Burkina Faso.
Arnaud Eric DiendéréCentre Hospitalier Universitaire de Bogodogo, Ouagadougou, Burkina Faso.
Abdoul-Salam OuedraogoCentre Hospitalier Universitaire Sourou Sanon, Bobo-Dioulasso, Burkina Faso.ORCID 0000-0002-8539-3768
Innocent ValeaInstitut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.ORCID 0000-0002-3085-0490
Amariane M KonéInstitut National de Santé Publique, Centre Muraz, Bobo-Dioulasso, Burkina Faso.
Cherileila ThiombianoInstitut National de Santé Publique, Centre Muraz, Bobo-Dioulasso, Burkina Faso.
Isidore TraoréInstitut National de Santé Publique, Centre Muraz, Bobo-Dioulasso, Burkina Faso.
Zekiba TarnagdaInstitut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.
Serge A SawadogoCentre PrïmO Nelson Mandela (Promotion de la Recherche et de l'Innovation en Immunologie Médicale de Ouagadougou), Ouagadougou, Burkina Faso.
Zakaria GansanéClinical Monitoring in Africa-Clinical Research Organization, Ouagadougou, Burkina Faso.
Yibar KambiréCentre Hospitalier Universitaire de Tengandogo, Ouagadougou, Burkina Faso.ORCID 0000-0002-7000-5566
Idrissa SanouCentre Hospitalier Universitaire de Tengandogo, Ouagadougou, Burkina Faso.
Fatou Barro-TraoréCentre Hospitalier Universitaire de Tengandogo, Ouagadougou, Burkina Faso.
Maxime K DraboInstitut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.
Halidou TintoInstitut de Recherche en Sciences de la Santé (CNRST-IRSS), Nanoro, Burkina Faso.ORCID 0000-0002-0472-3586
CHLORAZ Study Group
Centre National de la Recherche Scientifique et Technologique · BFCentre Hospitalier Universitaire Yalgado Ouédraogo · BFCentre Muraz · BFNazi Boni University · BFUniversité Joseph Ki-Zerbo · BF

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThough chloroquine derivatives are used in the treatment of coronavirus disease 2019 (COVID-19) in many countries worldwide, doubts remain about the safety and efficacy of these drugs, especially in African communities where published data are scarce.

methodsWe conducted an observational prospective cohort study from April 24 to September 03, 2020, in Burkina Faso to assess (as primary outcome) the clinical, biological, and cardiac (electrocardiographic) safety of chloroquine or hydroxychloroquine plus azithromycin administered to COVID-19 patients. The main secondary outcomes were all-cause mortality and median time of viral clearance.

resultsA total of 153 patients were enrolled and followed for 21 days. Among patients who took at least one dose of chloroquine or hydroxychloroquine (90.1% [138/153]), few clinical adverse events were reported and were mainly rash/pruritus, diarrhea, chest pain, and palpitations. No statistically significant increase in hepatic, renal, and hematological parameters or electrolyte disorders were reported. However, there was a significant increase in the QTc value without exceeding 500ms, especially in those who received chloroquine phosphate. Three adverse events of special interest classified as serious (known from chloroquine derivatives) were recorded namely pruritus, paresthesia, and drowsiness. One case of death occurred. The average onset of SARS-CoV-2 PCR negativity was estimated at 7.0 (95% CI: 5.0-10.0) days.

conclusionHydroxychloroquine appeared to be well tolerated in treated COVID-19 patients in Burkina Faso. In the absence of a robust methodological approach that could generate a high level of scientific evidence, our results could at least contribute to guide health decisions that should be made based on different sources of scientific evidence including those from our study.

Indexed as

azithromycinchloroquinehydroxychloroquinesafetySARS-CoV-2virus shedding

Identifiers

PMID34815671
PMCPMC8604637
OpenAlexW3211916218

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LicenceCC BY-NC
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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.