TrumpLyftAlles | 1 points | May 16 2020 20:57:33

Some Dominican Republic MDs inveigh against premature use of ivermectin

https://dominicantoday.com/dr/covid-19/2020/05/16/doctor-believes-dominican-republics-economy-could-open-in-two-weeks/

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[-] TrumpLyftAlles | 2 points | May 16 2020 21:00:02

The critical medicine expert assures that the case fatality rate in the Dominican Republic has not increased, even with a high positivity rate. When analyzing the number of patients in intensive care units, based on real-time, it is 1.8%. The expert and member of the high-level commission that manages the issue said that the opening process should be carried out, protecting vulnerable people.

Yunén considers that everything must be done evaluating the number of cases, the percentage of occupancy of beds, and the percentage of lethality, in a systematic and constant way.

The main hypothesis is that the behavior of covid-19 could be related to issues such as climate, previous vaccination against tuberculosis with BCG, cross-reaction with other viruses such as zika, dengue, and chikungunya. It could also be explained in the use of such criticized treatments as Hydroxychloroquine or ivermctin.

To doctors, Yunén warned they refrain from doing ego-based medicine, and instead employ an evidence-based medicine. He assured that the low mortality, less than 1% by covid-19, could be due to multiple explanations, genetic, environmental, measures, or treatment regimes, in Dominicans.

The critical medicine expert referred to the warning made by his infectious colleagues about the use of treatments such as ivermctin and other therapeutic options to treat covid-19. “There is no justification right now for sending letters between medical societies without a proposal that offers solutions,” he said.

In his opinion, what should be done in the medical community is to evaluate the protocols that are currently being applied and then, according to the lessons learned, carry out clinical trials to guide their effectiveness. “Otherwise we would be promoting an ego-based medicine and not evidence-based collaborative medicine,” said the expert.

It was asked what use is the state of confinement to which the country’s regulatory bodies have subjected the population if medical practice is frequently reversed. The lethality has not been so excessive.

The Society Infectious Diseases group expressed concern about the possibility that ivermctin could be used as one of the therapeutic options to treat covid-19. Most Society of Infectology members state that the use of parenteral ivermctin should not even be weighted for the regular treatment of covid-19.

Typical medical caution: don't use it until it's proven.

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[-] kunkr | 2 points | May 16 2020 21:36:46

Meanwhile doctors are dishing out hydroxychloroquine and remdesivir, both of which haven't been fully proven to work. Why not ivermectin?

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[-] TrumpLyftAlles | 2 points | May 16 2020 21:42:37

HQC has a President behind it and remdesivir has a big marketing budget?

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[-] kunkr | 3 points | May 16 2020 22:05:47

Yep, and only now is ivermectin getting some attention even though it'll probably be one of the most effective drugs we'll find against the virus.

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