Introdução: A síndrome respiratória aguda grave pelo coronavírus 2 (SARS-CoV-2), foi declarada como pandemia em 2020, e estratégias de prevenção e tratamento urgentes fizeram-se necessárias. Diante da ausência de vacinas e de medicamentos específicos para tratamento da COVID-19, diversos fármacos foram testados, na busca de frear o avanço exponencial de contaminados e de acometidos graves. Nesse contexto, a Nitazoxanida foi apontada como possível agente terapêutico, uma vez que apresenta, in vitro, atividade contra o SARS-CoV-2. Objetivo: Identificar e avaliar a relação entre a carga viral da COVID-19 e a gravidade do quadro clínico associados aos parâmetros laboratoriais dos pacientes acometidos. Material e métodos: Realizou-se uma revisão bibliográfica através das bases de dados PubMed, Scielo, Science Direct e BVS, utilizando as palavras-chave “SARS-CoV-2”, “Agente antiparasitário”, “Nitazoxanida”, ‘’Terapia’’ e ‘’Carga viral’' em inglês e português, associados pelos operadores booleanos “AND” e “OR”. Os estudos encontrados foram selecionados, primeiramente, de acordo com o título e resumo, e, posteriormente, avaliados na íntegra, totalizando 25 artigos. Resultados: Os estudos apontam significativa redução da carga viral pela Nitazoxanida em pacientes de quadros leve e moderado. Em contrapartida, sintomas clínicos e resultados laboratoriais não apresentaram mudanças, indicando a permanência da inflamação causada pela patologia. Conclusão: Houve consenso entre os estudos quanto ao significativo efeito redutor da carga viral pela Nitazoxanida, com potencial de reduzir a disseminação do patógeno. Entretanto, ainda são escassos os estudos que buscam elucidar o mecanismo da Nitazoxanida no combate à COVID-19 e explicam a influência da carga viral sobre os parâmetros clínicos e laboratoriais. Desse modo, nota-se que mais ensaios clínicos são necessários, e se ratificado o benefício contra o SARS-CoV-2, a nitazoxanida pode representar uma alternativa segura e acessível para o manejo da pandemia em andamento.
Publicado
2021-03-01
Como Citar
Souza, I. M. M., Souza, M. G. D., & Oda, . J. M. M. (2021). CONTROVERSO USO DA NITAZOXANIDA NO COMBATE À COVID-19. Revista Multidisciplinar Em Saúde, 2(1), 10. https://doi.org/10.51161/rems/748
ADOConnection.CacheExecute(3600, SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2]) % line 132, file: DAO.inc.php
DAO.retrieveCached(SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2], 3600) % line 91, file: ArticleSearchDAO.inc.php
ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line 201, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line 194, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line 132, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line 263, file: SubmissionSearch.inc.php
SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line 92, file: RecommendBySimilarityPlugin.inc.php
RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line 107, file: HookRegistry.inc.php
HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line 43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line 123, file: smarty_template_resource_base.php
Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line 114, file: smarty_template_compiled.php
Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line 216, file: smarty_internal_template.php
Smarty_Internal_Template.render(false, 1) % line 232, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line 134, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line 924, file: PKPTemplateManager.inc.php
PKPTemplateManager.display(frontend/pages/article.tpl) % line 292, file: ArticleHandler.inc.php
ArticleHandler.view(Array[1], Object:Request) % line 391, file: PKPRouter.inc.php
PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line 231, file: PKPPageRouter.inc.php
PKPPageRouter.route(Object:Request) % line 143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line 281, file: PKPApplication.inc.php
PKPApplication.execute() % line 68, file: index.php
Deprecated: Function get_magic_quotes_runtime() is deprecated in /home/editoraime/public_html/revistas/lib/pkp/lib/vendor/adodb/adodb-php/adodb.inc.php on line 2067
Deprecated: Function get_magic_quotes_runtime() is deprecated in /home/editoraime/public_html/revistas/lib/pkp/lib/vendor/adodb/adodb-php/adodb.inc.php on line 2067
Deprecated: Function get_magic_quotes_runtime() is deprecated in /home/editoraime/public_html/revistas/lib/pkp/lib/vendor/adodb/adodb-php/adodb.inc.php on line 2067
ADOConnection.CacheExecute(3600, SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2]) % line 132, file: DAO.inc.php
DAO.retrieveCached(SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2], 3600) % line 91, file: ArticleSearchDAO.inc.php
ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line 201, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line 194, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line 132, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line 263, file: SubmissionSearch.inc.php
SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line 92, file: RecommendBySimilarityPlugin.inc.php
RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line 107, file: HookRegistry.inc.php
HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line 43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line 123, file: smarty_template_resource_base.php
Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line 114, file: smarty_template_compiled.php
Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line 216, file: smarty_internal_template.php
Smarty_Internal_Template.render(false, 1) % line 232, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line 134, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line 924, file: PKPTemplateManager.inc.php
PKPTemplateManager.display(frontend/pages/article.tpl) % line 292, file: ArticleHandler.inc.php
ArticleHandler.view(Array[1], Object:Request) % line 391, file: PKPRouter.inc.php
PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line 231, file: PKPPageRouter.inc.php
PKPPageRouter.route(Object:Request) % line 143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line 281, file: PKPApplication.inc.php
PKPApplication.execute() % line 68, file: index.php
Deprecated: Function get_magic_quotes_runtime() is deprecated in /home/editoraime/public_html/revistas/lib/pkp/lib/vendor/adodb/adodb-php/adodb.inc.php on line 2067
Deprecated: Function get_magic_quotes_runtime() is deprecated in /home/editoraime/public_html/revistas/lib/pkp/lib/vendor/adodb/adodb-php/adodb.inc.php on line 2067
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930