Wednesday, April 29, 2020

Convalescent Plasma Therapy : Can Plasma Therapy Viable(COVID-19 Remedy), till a Vaccine developed??

Convalescent plasma therapy is current trail for the patients who are suffering from Corona virus disease. Plasma of a person who was already infected by so called virus,and get recovered, is injecting to the patients as an experimental medicine. It means the plasma has developed antibodies to fight with the virus, and the same plasma will recover the patient too.  This is termed as Convalescent plasma therapy.

Convalescent plasma therapy is not new, for last 2 decades it has been using for the patients, suffering from EBOLA, SARS(Severe Acute Respiratory Syndrome), MERS (Middle East Respiratory Syndrome), H1N1 influenza.  For these diseases Convalescent plasma transfusion gave good results and for COVID-19 also it is working.
WHO also not Officially declared as treatment. We should not consider this as solution to eradicate Corona virus disease, this is just a trail.

How Convalescent plasma therapy help us?
  Convalescent Plasma Transfusion is Potential Therapy in COVID-19 medical trails.After injecting plasma to the patient as per case studies anti bodies improves rapidly,
  •  Lymphocytes count starts increasing,
  • Decreasing C- reactive protein.
As per medical standards:
 C- reactive protein:
1-2.9  mg/liter ;Intermediate risk.
Less than 1 mg/liter;Intermediate risk.
Lymphocytes:
1000-4800/micro liter in adults.
3000-9500/micro liter in children.
Observations:

  • Decreasing viral load in the infected body.
  • Decreasing in time to discharge.
  • Decreasing mortality rate.
  • In Wuhan city in China, epicenter of Corona virus disease, also used this therapy to recover the patients early.Effectiveness of Convalescent Plasma Therapy in severe COVID-19 here are some studies.
  • Dosage of 200ml of Convalescent plasma given to the 10 patients, the results were good enough to cure.
  • Disappeared viraemia in 7 days.
  • Paraclinical criteria increased rapidly within 3 days.
  • Radiology examination indicates good results.
  • C-reactive protein decreased from 55.98mg/liter to 18.13 mg/liter.Anti bodies increased up to 1:640 in 5 cases.
  • Lymphocytes count increased from 0.65x10^9/L to 0.76x10^9/L.
  • Treatment of 5 critically I'll patients with COVID-19 were suffered and might have multi organ failure in such critical , situation Convalescent plasma therapy used after 10 to 22 days of admission SOFA was improved. Sequential organ failure Assessment, its range of illness 0 to 24.
How far we depend on Plasma Therapy?Convalescent Plasma Therapy not be consider as solution, but it's results on COVID-19 patients so far, will drives us to discuss. Safety one of the considerable factor in solidarity trials, in case of any bad results we can't face the consequences. Health experts using this as solidarity trail because no vaccine developed for COVID-19 so far. In case of Ebola, MERS SARS also doctors used this therapy till, vaccine developed.
Any way Safety and efficacy need to be consider while using this therapy, this has to be decided by medical experts. There exists risk factor too, in using this, that is why international medical councils not declared officially. Still research is going on we hope soon vaccine will develop.
Final Word:
Though Convalescent plasma therapy has succeeded in some cases and there are no adverse impacts by this therapy. Safety and efficacy are the two factors to be consider in using plasma therapy. Any way its giving hope to people and may become game changer too. But medical experts decisions play vital role in using plasma therapy.

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