Name (Synonyms) | Correlation | |
---|---|---|
drug294 | Examine the impact of COVID-19 during pregnancy Wiki | 0.71 |
drug763 | Standard Donor Plasma Wiki | 0.71 |
drug680 | Rapid diagnostics using Anyplex TMII RV16 Detection Wiki | 0.71 |
drug254 | Delayed diagnostics Anyplex TMII RV16 Detection Wiki | 0.71 |
drug552 | Nitric Oxide Wiki | 0.50 |
drug225 | Convalescent Plasma Wiki | 0.25 |
Name (Synonyms) | Correlation | |
---|---|---|
D004417 | Dyspnea NIH | 0.82 |
D005335 | Fever of Unknown Origin NIH | 0.71 |
D002637 | Chest Pain NIH | 0.71 |
D011024 | Pneumonia, Viral NIH | 0.12 |
D003141 | Communicable Diseases NIH | 0.08 |
D014777 | Virus Diseases NIH | 0.08 |
D011014 | Pneumonia NIH | 0.06 |
D007239 | Infection NIH | 0.06 |
D045169 | Severe Acute Respiratory Syndrome NIH | 0.05 |
D018352 | Coronavirus Infections NIH | 0.04 |
Name (Synonyms) | Correlation | |
---|---|---|
HP:0100749 | Chest pain HPO | 0.71 |
HP:0002090 | Pneumonia HPO | 0.11 |
There are 2 clinical trials
Viral respiratory infections are common and often require use of health care resources. Patients receive inappropriate bacterial antibiotics, which has many problems including side-effects, development of resistance and costs. A small portion of the infections leads to severe clinical manifestations including hospitalisations and deaths. The significance of influenza virus is well known and it is actively detected in all age groups. However, the benefits of detecting other respiratory viruses have mainly been studied among children but not among adults. The development of multiplex PCR technique has provided a new and sensitive method for diagnosing a large panel of viruses. To convince the economical benefits of the rapid viral diagnostic in adult infectious patient, more evidence is needed. In our randomized study, nasal and pharyngeal samples from the patients evaluated at the emergency clinic of internal medicine in the University Hospital of Oulu because of any respiratory symptom, chest pain or fever, will be collected. The samples will be tested for 16 different respiratory viruses by using Anyplex TMII RV16 Detection. The adult participants will be randomized in two groups. In one group the results of the testing will be reported for the attending physician as soon as possible, and in the other group 7 days after sampling. The effect of this delay to patient care is monitored. Also the results of children and adults are compared as well as results of men and women. The hypothesis is that rapid viral diagnostics shortens the length of admission and diminishes the use of bacterial antibiotics. New information on the viral epidemiology among children and adults is provided and clinical manifestations of specific viral infections in adults are described. The estimated 1500 samples are also tested for 5 different respiratory bacteria by Anyplex TM II RB5 Detection. These results will be examined after completion of the study period. The benefits of rapid bacterial detection are evaluated in respect to the clinical course of the disease and considering the infection control aspects as well.
Description: The number of days in hospital within one month after randomization
Measure: Duration of hospitalization Time: One monthDescription: Number of days on antimicrobials within one month after randomization
Measure: Antimicrobial consumption Time: One monthDescription: Defined daily doses of antimicrobial agents within one month after randomization
Measure: Antimicrobial consumption Time: One monthThe scientific community is in search for novel therapies that can help to face the ongoing epidemics of novel Coronavirus (COVID-19) originated in China in December 2019. At present, there are no proven interventions to prevent progression of the disease. Some preliminary data on SARS pneumonia suggest that inhaled Nitric Oxide (NO) could have beneficial effects on COVID-19 due to the genomic similarities between this two coronaviruses. In this study we will test whether inhaled NO therapy prevents progression in patients with mild to moderate COVID-19 disease.
Description: The primary outcome will be the proportion of patients with mild COVID2019 who deteriorate to a severe form of the disease requiring intubation and mechanical ventilation. Patients with indication to intubation and mechanical ventilation but concomitant DNI (Do Not Intubate) or not intubated for any other reason external to the clinical judgment of the attending physician will be considered as meeting the criteria for the primary endpoint.
Measure: Reduction in the incidence of intubation and mechanical ventilation Time: 28 daysDescription: Mortality from all causes
Measure: Mortality Time: 28 daysDescription: Proportion of patients with a negative conversion of RT-PCR from an oropharyngeal or a nasopahryngeal swab
Measure: Negative conversion of COVID-19 RT-PCR from upper respiratory tract Time: 7 daysDescription: Time from initiation of the study to discharge or to normalization of fever (defined as <36.6°C from axillary site, or < 37.2°C from oral site or < 37.8°C from rectal or tympanic site), respiratory rate (< 24 bpm while breathing room air) and alleviation of cough (defined as mild or absent in a patient reported scale of severe >>moderate>>mild>>absent).
Measure: Time to clinical recovery Time: 28 days