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3.
Transfus Clin Biol ; 28(3): 308-309, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1221045

ABSTRACT

Clinical management protocols for COVID-19 are evolving rapidly as more information about the epidemiology and pathophysiological changes in COVID-19 become available. However, no definite treatment of COVID-19 has been found till date. The COVID-19 convalescent plasma (CCP) therapy has emerged as an important investigational therapy in the management of COVID-19 patients. Additionally, the regulatory agencies, in particular, the Indian blood transfusion council must release some interim recommendations for the blood centres on the CCP blood donor eligibility criteria after COVID-19 vaccination. More clinical trials are needed to know the efficacy of the CCP harvested from COVID-19 recovered individuals who have been vaccinated against those COVID-19 recovered individuals who are not vaccinated to understand the vaccine impact on the IgG titres of anti-SARS-CoV-2 antibodies.


Subject(s)
Antibodies, Viral/therapeutic use , Blood Safety , COVID-19 Vaccines , COVID-19/therapy , Donor Selection/standards , Immunoglobulin G/therapeutic use , Pandemics , SARS-CoV-2/immunology , Antibodies, Viral/blood , Antibodies, Viral/immunology , COVID-19/blood , COVID-19/immunology , Human Experimentation , Humans , Immunization, Passive/ethics , Immunization, Passive/standards , Immunoglobulin G/blood , Immunoglobulin G/immunology , Informed Consent , Viral Proteins/immunology , COVID-19 Serotherapy
4.
Transfus Clin Biol ; 28(3): 271-275, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1174515

ABSTRACT

Convalescent plasma therapy (CP) has long been used to prevent and treat various infectious diseases before COVID-19 such as SARS, MERS, and H1N1. Because the viral and clinical characteristics of COVID-19 share the similarities between SARS and MERS, CP treatment could be a promising treatment option to save COVID-19. With only low quality medical evidence, but massive media support and a very significant public demand for the use of convalescent plasma for COVID-19, we are now faced with an ethical dilemma. Therefore, this paper uses a structured analysis that focuses on the preferred reporting items for a systematic review of ethical issues regarding the use of Convalescent Plasma Therapy for COVID-19. The use of convalescent plasma must meet the ethical principles of autonomy; such as voluntary, informed consent, and confidentiality. Consideration of the risk-benefit ratio for potential donor recipients also needs to be considered in order to meet the beneficence and non-maleficence principles. The principle of justice also needs to be applied both to donors, donor recipients and health workers, such as determining the priority of donor recipients, due to the increasing demand for convalescent plasma amid the limited circumstances of patients who have recovered from Covid-19 who voluntarily donate.


Subject(s)
COVID-19/therapy , SARS-CoV-2 , Adolescent , Adult , Altruism , Blood Donors , COVID-19/prevention & control , Child , Confidentiality , Donor Selection/ethics , Donor Selection/standards , Health Personnel , Humans , Immunization, Passive/ethics , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Informed Consent , Personal Autonomy , Personal Protective Equipment , Risk Assessment , SARS-CoV-2/genetics , SARS-CoV-2/immunology , Social Justice , Volunteers , COVID-19 Serotherapy
5.
Blood Purif ; 51(1): 1-14, 2022.
Article in English | MEDLINE | ID: covidwho-1166612

ABSTRACT

Since early 2020, COVID-19 has wreaked havoc in many societies around the world. As of the present, the SARS-CoV-2-borne disease is propagating in almost all countries, affecting hundreds of thousands of people in an unprecedented way. As the name suggests, the novel coronavirus, widely known as SARS-CoV-2, is a new emerging human pathogen. A novel disease of relatively unknown origin, COVID-19 does not seem to be amenable to the currently available medicines since there is no specific cure for the disease. In the absence of any vaccine or effective antiviral medication, we have no tools at our disposal, but the method of quarantine, be it domestic or institutional, to hinder any further progression of this outbreak. However, there is a record of physicians in the past who practiced convalescent blood transfusion. To their awe, the method seemed to be useful. It is anticipated that these contemporary methods will outdo any other vaccination process in the time being, as blood transfusion is instead a cost-effective and time-friendly technique. Following a successful trial, this new approach of contemporary nature to a viral disease may serve as an emergency intervention to intercept infectious outbreaks and prevent an impending epidemic/pandemic. In this review, we document the most recent evidence regarding the efficiency of convalescent plasma and serum therapy on SARS, MERS, and particularly COVID-19, while discussing potential advantages and possible risks of such practice.


Subject(s)
COVID-19/therapy , Pandemics , SARS-CoV-2 , Antibodies, Viral/immunology , Antibodies, Viral/therapeutic use , COVID-19/epidemiology , COVID-19/history , COVID-19/prevention & control , Clinical Trials as Topic , Convalescence , Coronavirus Infections/therapy , Forecasting , History, 20th Century , Humans , Immunization, Passive/adverse effects , Immunization, Passive/ethics , Immunization, Passive/history , Immunization, Passive/trends , Influenza, Human/therapy , Plasma , Risk , SARS-CoV-2/immunology , Serum , Severe Acute Respiratory Syndrome/therapy , COVID-19 Serotherapy
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