Evidence map›Paper›PMID 35495846›Full record

ArticleJournal of family medicine and primary care2022

Hydroxychloroquine pre-exposure prophylaxis for COVID-19 among healthcare workers: Initial experience from India.

Harshith B Kadnur, Anivita Aggarwal, Manish Soneja, Komal Singh, Ankit Mittal, Neeraj Nischal, Praveen Tirlangi, Adil Rashid Khan, Devashish Desai, Ankesh Gupta and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 51% 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, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

16 authors at 1 institution in 1 country.

Harshith B KadnurDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Anivita AggarwalDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Manish SonejaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Komal SinghDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Ankit MittalDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Neeraj NischalDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Praveen TirlangiDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Adil Rashid KhanDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Devashish DesaiDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Ankesh GuptaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Arvind KumarDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Pankaj JorwalDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Ashutosh BiswasDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Ravindra Mohan PandeyDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Naveet WigDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Randeep GuleriaDepartment of Pulmonary Medicine and Sleep Disorder, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hydroxychloroquine (HCQ) had generated considerable interest for coronavirus disease 2019 (COVID-19) prophylaxis. We conducted a prospective observational study at a tertiary care hospital in India, with dedicated COVID-19 care facilities. Objectives: Primary objective was incidence of adverse effects, secondary objective being efficacy in preventing COVID-19. Methods: Healthcare workers were recruited and grouped based on voluntary HCQ prophylaxis as per national guidelines. Side effects in HCQ group were graded in accordance with national cancer institute-common terminology criteria for adverse events (NCI-CTCAE) version 5.0. At 3-7-week follow-up, groups were compared for COVID-19 exposure, symptoms development and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RT-PCR results. Results: Among 358 participants recruited, 216 (60.3%) were males and mean age was 31.2 ± 6.6 years. Chemoprophylaxis was initiated by 258 (72%) participants. After loading dose, 7 (2.7%) reported grade 2 and 1 (0.4%) grade 3 adverse effects. Discontinuation of HCQ due to side effects was reported in 11 (4.3%) participants. Electrocardiogram was done by 50 (19.4%) participants on HCQ; no abnormalities were noted. A total of 106 (41%) among those taking and 63 (63%) among those not taking HCQ were tested for SARS-CoV-2 due to influenza-like illness or significant exposure. Among all participants, 25 (6.9%, 95% confidence interval [CI] 4.3-9.6) developed COVID-19 during the study period. In the group taking HCQ, 10 (3.9%) tested positive compared to 15 (15%) in the group not taking HCQ ( Conclusion: HCQ is safe at the recommended dose for pre-exposure prophylaxis of COVID-19.

Indexed as

COVID-19healthcare workershydroxychloroquinepre-exposure prophylaxisSARS-CoV-2

Identifiers

PMID35495846
PMCPMC9051734
OpenAlexW4225293161

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.