Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review

Passive immunotherapy using whole blood or plasma from recovered patients is a potential therapeutic strategy for infections with no known drug therapy or prophylactic vaccines. Much before, the concept of transfusing neutralizing antibodies through convalescent blood or plasma was established; this...

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Main Authors: Rasmi Ranjan Sahoo, Kasturi Hazarika, Prashant Bafna, Manesh Manoj, Anupam Wakhlu
Format: Article
Language:English
Published: SAGE Publishing 2020-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=3;spage=217;epage=222;aulast=Sahoo
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author Rasmi Ranjan Sahoo
Kasturi Hazarika
Prashant Bafna
Manesh Manoj
Anupam Wakhlu
author_facet Rasmi Ranjan Sahoo
Kasturi Hazarika
Prashant Bafna
Manesh Manoj
Anupam Wakhlu
author_sort Rasmi Ranjan Sahoo
collection DOAJ
description Passive immunotherapy using whole blood or plasma from recovered patients is a potential therapeutic strategy for infections with no known drug therapy or prophylactic vaccines. Much before, the concept of transfusing neutralizing antibodies through convalescent blood or plasma was established; this modality demonstrated its effectiveness in containing the havoc caused by diphtheria and tetanus during the early 20th century. Convalescent blood products were effective in reducing the mortality risk when administered early in the disease course during the deadliest pandemic of Spanish flu in 1918. Even in the antibiotic era, the use of passive immunization strategy continued to expand with promising results against measles, Ebola, Argentine hemorrhagic fever, and Zika viruses. It was also effective in reducing the mortality and viral load in severe acute respiratory syndrome, H5N1, H1N1, and Middle East Respiratory Syndrome. Convalescent plasma administration carries the risk of anaphylactic reactions, transfusion-related acute lung injury, and transfusion-associated circulatory overload, but these are extremely rare. The impact of the recent coronavirus disease 2019 is enormous with significant morbidity and mortality. Until, a specific antiviral therapy or an effective vaccine is made available, the consideration for use of convalescent blood products, especially plasma, is warranted. Conceptual and observational wisdom often blossoms among therapeutic penury.
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spelling doaj-art-2402ff93230b41e784f6c85e6ea40d272025-02-03T12:00:36ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012020-01-0115321722210.4103/injr.injr_100_20Convalescent plasma therapy in severe coronavirus disease-2019: A narrative reviewRasmi Ranjan SahooKasturi HazarikaPrashant BafnaManesh ManojAnupam WakhluPassive immunotherapy using whole blood or plasma from recovered patients is a potential therapeutic strategy for infections with no known drug therapy or prophylactic vaccines. Much before, the concept of transfusing neutralizing antibodies through convalescent blood or plasma was established; this modality demonstrated its effectiveness in containing the havoc caused by diphtheria and tetanus during the early 20th century. Convalescent blood products were effective in reducing the mortality risk when administered early in the disease course during the deadliest pandemic of Spanish flu in 1918. Even in the antibiotic era, the use of passive immunization strategy continued to expand with promising results against measles, Ebola, Argentine hemorrhagic fever, and Zika viruses. It was also effective in reducing the mortality and viral load in severe acute respiratory syndrome, H5N1, H1N1, and Middle East Respiratory Syndrome. Convalescent plasma administration carries the risk of anaphylactic reactions, transfusion-related acute lung injury, and transfusion-associated circulatory overload, but these are extremely rare. The impact of the recent coronavirus disease 2019 is enormous with significant morbidity and mortality. Until, a specific antiviral therapy or an effective vaccine is made available, the consideration for use of convalescent blood products, especially plasma, is warranted. Conceptual and observational wisdom often blossoms among therapeutic penury.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=3;spage=217;epage=222;aulast=Sahooconvalescent plasmacoronavirus disease-2019critically illpassive immunitysevere acute respiratory syndrome coronavirus 2
spellingShingle Rasmi Ranjan Sahoo
Kasturi Hazarika
Prashant Bafna
Manesh Manoj
Anupam Wakhlu
Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review
Indian Journal of Rheumatology
convalescent plasma
coronavirus disease-2019
critically ill
passive immunity
severe acute respiratory syndrome coronavirus 2
title Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review
title_full Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review
title_fullStr Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review
title_full_unstemmed Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review
title_short Convalescent plasma therapy in severe coronavirus disease-2019: A narrative review
title_sort convalescent plasma therapy in severe coronavirus disease 2019 a narrative review
topic convalescent plasma
coronavirus disease-2019
critically ill
passive immunity
severe acute respiratory syndrome coronavirus 2
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=3;spage=217;epage=222;aulast=Sahoo
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AT prashantbafna convalescentplasmatherapyinseverecoronavirusdisease2019anarrativereview
AT maneshmanoj convalescentplasmatherapyinseverecoronavirusdisease2019anarrativereview
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