The use of inhaled tauractant therapy in the subacute period of COVID-19
https://doi.org/10.21518/ms2023-084
Abstract
The subacute period of coronavirus infection is a 4- to-12-week period after acute illness associated with the SARS-CoV-2 infection. A range of bronchopulmonary symptoms in the subacute period of COVID-19 includes cough, shortness of breath, reduced exercise tolerance, which, in turn, worsens the patient’s quality of life. Despite all the achievements of modern medicine, there is still no exact understanding of the mechanisms of this condition. There are also limitations of current patients’ treatments. The successful use of exogenous surfactant in the acute period of SARS-CoV-2 infection has become the starting point in the search for new therapeutic tools for this category of patients. The paper describes a clinical observation with the use of inhaled therapy with surfactant 150 mg/day for 7 days in a patient who underwent COVID-associated pneumonia with persistent ventilation disorders, decreased exercise tolerance, and characteristic changes identified due to the multispiral computed tomography examination. The treatment included the use of the Russian-manufactured surfactant (tauractant), a lyophilisate for suspension for endotracheal, endobronchial and inhalation administration, 75 mg vials. The drug is sourced from bovine lungs, refers to ATC R07AA30 (therapeutic combinations comprising pulmonary surfactants); pharmacotherapeutic group: surfactant. The studied treatment demonstrated the efficacy and safety of administration in this category of patients, and also ensured the disease control and improved quality of life.
About the Authors
O. O. VoronkovaRussian Federation
Olga O. Voronkova - Cand. Sci. (Med.), Assistant of the Department of Hospital Therapy No. 1 of the Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
A. A. Starzhevskaia
Russian Federation
Anastasia A. Starzhevskaia - Clinical Resident of the Department of Hospital Therapy No. 1 of the Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
V. G. Skachek
Russian Federation
Viktoria G. Skachek - Student of the Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
E. F. Rogova
Russian Federation
Elena F. Rogova - Head of the Department, Pulmonologist, University Clinical Hospital No. 1, Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
G. B. Abdullaeva
Russian Federation
Gulnora B. Abdullaeva - Pulmonologist, University Clinical Hospital No. 1, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
O. E. Buyanova
Russian Federation
Olga E. Buyanova - Pulmonologist, University Clinical Hospital No. 1, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
M. V. Kozhevnikova
Russian Federation
Maria V. Kozhevnikova - Cand. Sci. (Med.), Professor of the Department of Hospital Therapy No. 1 of the Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
Yu. N. Belenkov
Russian Federation
Yuri N. Belenkov - Dr. Sci. (Med.), Professor, Head of the Department of Hospital Therapy No. 1 of of the Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).
6, Bldg. 1, Bolshaya Pirogovskaya St., Moscow, 119991
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Review
For citations:
Voronkova OO, Starzhevskaia AA, Skachek VG, Rogova EF, Abdullaeva GB, Buyanova OE, Kozhevnikova MV, Belenkov YN. The use of inhaled tauractant therapy in the subacute period of COVID-19. Meditsinskiy sovet = Medical Council. 2023;(4):50-56. (In Russ.) https://doi.org/10.21518/ms2023-084