COVID-19: success depends on medical concepts, not political | 72078
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International Research Journal of Pharmacy and Pharmacology

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COVID-19: success depends on medical concepts, not political views


Igor Klepikov

The appearance of the current COVID-19 pandemic has not only significantly changed the usual rhythm and conditions of our life, but also came as a direct surprise to many, causing a sense of anxiety and insecurity. As the new situation developed and its consequences accumulated, long-standing problems that had previously gone unnoticed or unimportant for many were increasingly identified. And if a year ago the discussion of these issues was not perceived properly in the medical community, today the situation itself dictates the need for such an analysis. Moreover, the pandemic has come as a complete surprise to the vast majority of specialists, depriving them of their usual treatment regimens, and the current offers and efforts of medical care are symptomatic and do not affect the overall results. At this time, when the coronavirus pandemic is an indisputable fact, it is difficult to refute the claims that this catastrophe has been steadily approaching us for many years. The main problem of coronavirus infection is the development of a viral form of pneumonia with all possible consequences. Viruses have long appeared in the description of pathogens of acute pneumonia (AP), but in previous years their independent role in the development of this disease was more declarative, and viral infections were considered as harbingers of bacterial inflammation. Over the past couple of decades, the number of cases of viral pneumonia has increased, and repeated epidemics of viral infections have clearly demonstrated the consequences of their outbreaks. Suffice it to recall the SARS (2002-2004) and MERS (2012-2013) epidemics, which are now referred to by the additional terms CoV and CoV-1 in contrast to the current CoV-2 pandemic, which indicates an etiological connection between these events . what conclusions did modern medicine draw from the first two relatively local catastrophes? What practical steps have been taken in the future in the event of a repeat of such natural disasters? The answers to these questions lie in the nature of medical care for coronavirus pneumonia, when it became absolutely clear that there is no comprehensive specific treatment for such patients, since previously the basis of treatment was antibiotics, which are not suitable in this situation. Treatment of patients with AP only on the basis of antibiotics remained the leading strategy all these years, and under this psychological burden, bacterial forms of the disease that are not contagious and not prone to epidemics were classified as infectious. This concept remained a priority until the beginning of Cov-2, when many leading specialists continued to consider antibiotics as a "cornerstone" in the treatment of patients with AP. Has anyone questioned the therapeutic effectiveness of antibiotics for AP, which act only on the microbial factor and do not have a direct effect on the inflammatory process? Or someone wondered why one antibiotic can act as the main treatment not only for AP, but also for a number of diverse and heterogeneous inflammatory diseases?

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