role of ribavirin in the therapy of Crimean-Congo hemorrhagic fever: early use is promising

Crimean-Congo hemorrhagic fever (CCHF) is a disease with high fatality. To demonstrate the effectiveness of ribavirin against CCHF. The first group of 21 patients received ribavirin within 4 days of the onset of symptoms (early use of ribavirin, EUR); the second group of 20 patients received ribavir...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2009-08, Vol.28 (8), p.929-933
Hauptverfasser: Tasdelen Fisgin, N, Ergonul, O, Doganci, L, Tulek, N
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container_issue 8
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container_title European journal of clinical microbiology & infectious diseases
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creator Tasdelen Fisgin, N
Ergonul, O
Doganci, L
Tulek, N
description Crimean-Congo hemorrhagic fever (CCHF) is a disease with high fatality. To demonstrate the effectiveness of ribavirin against CCHF. The first group of 21 patients received ribavirin within 4 days of the onset of symptoms (early use of ribavirin, EUR); the second group of 20 patients received ribavirin >=5 days after the onset of the symptoms of the disease (late use of ribavirin, LUR); and the last group of 11 patients did not receive ribavirin (no use of ribavirin, NUR). At 5-10 days from the onset of symptoms the mean platelet counts of the patients in the EUR group were significantly higher than those of the patients in LUR group, and at 7-9 days, they were significantly higher than that of the patients in the NUR group. The mean aspartate transferase levels in the EUR group were significantly lower than of the NUR group on days 8 and 9, and the mean alanine transferase level was significantly lower on day 8 after the onset of the symptoms. There is a beneficial effect of ribavirin if given at an early phase of the CCHF. We suggest ribavirin use especially in the early phase of the disease.
doi_str_mv 10.1007/s10096-009-0728-2
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subjects Adult
Aged
Alanine Transaminase - blood
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiviral agents
Antiviral Agents - therapeutic use
Arachnids
Arboviral haemorrhagic fevers
Arboviroses
Aspartate Aminotransferases - blood
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Fatalities
Female
Fever
Hemorrhagic Fever, Crimean - drug therapy
Human viral diseases
Humans
Infectious diseases
Internal Medicine
Male
Medical Microbiology
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Platelet Count
Ribavirin - therapeutic use
Time Factors
Treatment Outcome
Tropical viral diseases
Viral diseases
title role of ribavirin in the therapy of Crimean-Congo hemorrhagic fever: early use is promising
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