O uso de corticoterapia sistêmica na infecção pelo SARS-CoV-2 / The use of corticosteroids in the SARS-CoV-2 infeccion

Authors

  • Maria Eduarda Lima de Oliveira
  • Maria Isabelle Gazolla Pasquini
  • Letícia Mayumi Gayardo Arai
  • Rafaela Junqueira Rigolon

DOI:

https://doi.org/10.34119/bjhrv4n4-228

Keywords:

Corticosteroides. Coronavírus. Infecção

Abstract

INTRODUÇÃO: O uso de corticosteroides foi pensado como tratamento na infecção pelo SARS-CoV-2 devido ao seu efeito imunomodulador e anti-inflamatório. Isso foi considerado pois, a tempestade de citocinas é uma das principais causas de exacerbação da doença e progressão para síndrome de desconforto respiratório agudo (SDRA), que é a principal causa de morte em pacientes com COVID-19. METODOLOGIA: Trata-se de um estudo de revisão narrativa, o qual objetiva transcorrer sobre a eficácia do corticoide no tratamento da infecção pelo coronavírus. As buscas foram realizadas na base de dados PubMed, e foram aplicados os descritores corticosteroids e covid-19, de forma combinada. DISCUSSÃO: Existem muitas variáveis que divergem entre os autores e que influenciam no benefício do tratamento, como: dose terapêutica, período de início, seleção de um grupo de pacientes ideal e o tipo do corticoide usado. CONCLUSÃO: A partir dos estudos analisados, é possível inferir que ainda existem muitas divergências com relação ao uso de corticosteroides no tratamento da infecção pelo SARS-CoV-2. Sendo assim, são necessários novos estudos para elucidar essas questões.

References

MATTHAY, M. A.; WICK, K. D. Corticosteroids, COVID-19 pneumonia, and acute respiratory distress syndrome. J Clin Invest., v. 130, n 12, p. 6218-6221, 2020.

SILVA, P. M. et al. Pros and cons of corticosteroid therapy for COVID-19 patients. Respiratory Physiology & Neurobiology, v. 280, 2020.

FADEL, R. et al. Early Short-Course Corticosteroids in Hospitalized Patients With COVID-19. Clinical Infectious Diseases, v. 71, n. 16, p. 2114-2120, 2020.

PRESCOTT, H. C.; RICE, T. W. Corticosteroids in COVID-19 ARDS. JAMA, v. 323, n.13, p. 1292-1295, 2020.

SINGH, A. K. et al. Role of corticosteroids in the management of COVID-19: A systemic review and a Clinician’s perpective. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, v. 14, n. 5, p. 971-978, 2020.

TLAYJEH H. et al. Association of corticosteroids use and outcomes in COVID-19 patients: A systematic review and meta-analysis. Journal of Infection and Public Health, v. 13, n.11, p. 1652-1663, 2020.

LANGARIZADEH, M. A. et al. A review on function and side effects of systemic corticosteroids used in high-grade COVID-19 to prevent cytokine storms. EXCLI Journal, v. 20, p. 339-365, 2021.

WU, C. et al. Corticosteroid therapy for coronavirus disease 2019-related acute respiratory distress syndrome: a cohort study with propensity score analysis. Critical Care, v. 24, n. 643, 2020.

WU, J. et al. Systemic Corticosteroids and Mortality in Severe and Critical COVID-19 Patients in Wuhan, China. The Journal of Clinical Endocrinology & Metabolism, v. 105, n. 12, p. 4230-4239, 2020.

PAASSEN, J. V. et al. Corticosteroid use in COVID-19 patients: a systematic review and meta-analysis on clinical outcomes. Critical Care, v. 24, n. 696, 2020.

LIU, Z. et al. Low-to-moderate dose corticosteroids treatment in hospitalized adults with COVID-19. Clinical Microbiology and Infection, v.27, n. 1, p. 112-117, 2021.

BARTOLETTI, M. et al. Efficacy of corticosteroid treatment for hospitalized patients with severe COVID-19: a multicentre study. Clinical Microbiology and Infection, v.27, n. 1, p. 105-111, 2021.

LIU, J. et al. Corticosteroid treatment in severe COVID-19 patients with acute respiratory distress syndrome. The Journal of Clinical Investigation, v. 130, n.12, p. 6417-6428, 2020.

NOREEN, S.; MAQBOOL, I.; MADNI, A. Dexamethasone: Therapeutic potential, risks, and future projection during COVID-19 pandemic. European Journal of Pharmacology, v. 894, 2021.

ALEXAKI, V. I.; HENNEICKE, H. The Role of Glucocorticoids in the Management of COVID-19. Hormone and Metabolic Research, v. 53, n. 1, p. 9-15, 2021.

FERRAÙ, F. et al. What we have to know about corticosteroids use during Sars-Cov-2 infection. Journal of Endocrinological Investigation, v. 44, p. 693-701, 2021.

SOLINAS, C. et al. A critical evaluation of glucocorticoids in the management of severe COVID-19. Cytokine & Growth Factor Reviews, v. 54, p. 8-23, 2020.

TORTAJADA, C. et al. Corticosteroids for COVID-19 patients requiring oxygen support? Yes, but not for everyone: Effect of corticosteroids on mortality and intensive care unit admission in patients with COVID-19 according to patients' oxygen requirements. Journal of Medical Virology, v. 93, n. 3, p. 1817-1823, 2020.

MINGLI, Y. et al. Effects of Corticosteroids Treatment for Non-Severe COVID-19 Pneumonia: A Propensity Score-Based Analysis. SHOCK, v. 54, n. 5, p. 638-643, 2020.

The WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group. Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis. JAMA, v. 324, n. 13, p. 1330-1341, 2021.

Published

08/13/2021

How to Cite

DE OLIVEIRA, M. E. L.; PASQUINI, M. I. G.; ARAI, L. M. G.; RIGOLON, R. J. O uso de corticoterapia sistêmica na infecção pelo SARS-CoV-2 / The use of corticosteroids in the SARS-CoV-2 infeccion. Brazilian Journal of Health Review, [S. l.], v. 4, n. 4, p. 17302–17310, 2021. DOI: 10.34119/bjhrv4n4-228. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/34408. Acesso em: 19 oct. 2026.

Issue

Section

Original Papers