tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ......
Transcript of tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ......
![Page 1: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/1.jpg)
COVID-‐19 Tedavi24 Mart 2020
![Page 2: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/2.jpg)
![Page 3: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/3.jpg)
![Page 4: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/4.jpg)
![Page 5: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/5.jpg)
![Page 6: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/6.jpg)
Tedavi seçenekleri
1. Hidkroksiklorokin (HQ)• HQ + azitromisin
2. Lopinavir/ritonavir3. Remdesivir4. Ribavirin5. favipravir6. Tocilizumab7. Oseltamivir8. Baloxavir9. İnterferonlar10. Kortikosteroidler
![Page 7: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/7.jpg)
Nature 2020
![Page 8: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/8.jpg)
![Page 9: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/9.jpg)
Raoult D, New Insights… IJAA 2020
![Page 10: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/10.jpg)
HCQ + Azithromycin: Gautret, IJAA 2020
![Page 11: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/11.jpg)
Dr. Fauci and the president have publicly disagreed on how long it will take for a coronavirus vaccine to become available and whether an anti-malaria drug, chloroquine, could help those with an acute form of the virus. Dr. Fauci has made clear that he does not think the drug necessarily holds the potential that Mr. Trump says it does.
![Page 12: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/12.jpg)
PNAS, Feb 14 2020
![Page 13: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/13.jpg)
![Page 14: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/14.jpg)
Klorokin + Kaletrakullanılması için veri yokAma eklenebilir?
![Page 15: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/15.jpg)
![Page 16: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/16.jpg)
![Page 17: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/17.jpg)
![Page 18: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/18.jpg)
1. Immunsüpresyon2. Sıcaklık3. Hepatomegali4. Splenomegali5. Hb6. Düşük lökosit sayısı7. Düşük trombosit8. Yüksek ferritin9. Yüksek trigliserid10.Yüksek AST/ALT11.Hemofagositoz
![Page 19: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/19.jpg)
IL-‐6 Testi ve Tocilizumab
1.IL-‐6 testi kimlere yapılmalı?2.Tocilizumab ne zaman verilmeli• 3x > IL-‐6 veya >300 (üst sınır 9)• Artış olması• Başka parametrelerle birlikte
![Page 20: tedavi - klimik.org.tr€¦ · Hepatomegali 4. Splenomegali 5. Hb 6. Düşüklökositsayıs ... Guangdi LP and Erik De Clercq2Z . 12 12 90 60 Ecu-log.50 Sl>3.65 Ribavirin [PM] Penciclovir](https://reader033.fdocuments.co/reader033/viewer/2022053107/6074c0b7a772d304d7742adb/html5/thumbnails/20.jpg)
Yararı Olmadığı Düşünülen İlaçlar
RibavirinInterferonlarOseltamivir: nörominidazı kullanmıyorBaloxavir