Evidence map›Paper›PMID 42387951›Full record

ArticleThe Medical journal of Australia2026

Still Treating Yesterday's Risk? Reconsidering Antiviral Use for Mild-to-Moderate COVID-19 Cases in a Broadly Immune Population.

Hadar Mudrik-Zohar, Tim Cutfield, Susan Morpeth, Thomas Hills, Eamon Duffy, Laura J Edwards, Allen C Cheng, Steven Y C Tong

Abstract read
In one paragraph

Article in The Medical journal of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Hadar Mudrik-ZoharDepartment of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-8227-5360
Tim CutfieldDepartment of Infectious Diseases, Middlemore Hospital, Te Whatu Ora Counties Manukau, Auckland, New Zealand.
Susan MorpethDepartment of Infectious Diseases, Middlemore Hospital, Te Whatu Ora Counties Manukau, Auckland, New Zealand.
Thomas HillsMedical Research Institute of New Zealand, Wellington, New Zealand.
Eamon DuffyInfectious Disease and Pharmacy Services, Te Toka Tumai, Health New Zealand, Auckland City Hospital, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-4515-5116
Laura J EdwardsSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Allen C ChengFaculty of Medicine Nursing and Health Sciences, School of Clinical Sciences, Monash University, Prahan, Victoria, Australia.ORCID https://orcid.org/0000-0003-3152-116X
Steven Y C TongDepartment of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antivirals for mild-to-moderate coronavirus disease 2019 (COVID-19) were adopted for use based on trials in unvaccinated adults during the pre-Omicron period. In today's broadly immune populations, where the risk of hospitalisation and death has decreased substantially, there is a lack of high-quality contemporary evidence to support routine antiviral use for mild-to-moderate disease. Comparing the Australian and New Zealand experiences in the evolving COVID-19 landscape highlights differences in policy and prescribing practice. Treatment guidelines should be informed by systematic evaluation of emerging data, given uncertainty regarding antiviral effectiveness in a context of widespread immunity and milder disease, which have altered the balance of risks and benefits.

Indexed as

Antiviral AgentsCOVID-19 Drug TreatmentAustraliaCOVID-19HumansNew ZealandPandemicsSARS-CoV-2Antiviral Agentsantiviral agentsCOVID‐19health policymedical economics

Identifiers

PMID42387951
PMCPMC13324227

What OpenQuestion holds

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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.