5 chlorhexidine COVID-19 controlled studies, 4 RCTs
69% improvement
for early treatment, RR
0.31
[0.16-0.60]
Supplementary Data — Chlorhexidine reduces COVID-19 risk: real-time meta analysis of 5 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Bonn (DB RCT)
85%
0.15 [0.01-2.74]
viral load
6 (n)
9 (n)
Short term viral CT1
Improvement, RR [CI]
Treatment
Control
Jing (DB RCT)
79%
0.21 [0.11-0.39]
OGD
10/120
56/140
OGD CT1
Jing (DB RCT)
97%
0.03 [0.00-0.57]
severe case
0/120
15/140
CT1
Jing (DB RCT)
95%
0.05 [0.00-0.78]
severe case
0/120
11/140
CT1
Jing (DB RCT)
83%
0.17 [0.02-1.34]
severe case
1/120
7/140
CT1
Sulistyani
54%
0.46 [0.29-0.73]
viral load
15 (n)
15 (n)
Huang (RCT)
75%
0.25 [0.19-0.34]
viral+
38/159
127/135
Huang (RCT)
85%
0.15 [0.09-0.25]
viral+
13/93
75/80
Huang (RCT)
60%
0.40 [0.29-0.55]
viral+
25/66
52/55
Karami (DB RCT)
61%
0.39 [0.16-0.97]
symptoms
36 (n)
40 (n)
Karami (DB RCT)
82%
0.18 [0.03-1.20]
symptoms
36 (n)
40 (n)
Karami (DB RCT)
56%
0.44 [0.15-1.27]
symptoms
36 (n)
40 (n)
Karami (DB RCT)
11%
0.89 [0.29-2.70]
symptoms
36 (n)
40 (n)
Karami (DB RCT)
95%
0.05 [0.00-0.97]
symptoms
36 (n)
40 (n)
Karami (DB RCT)
57%
0.43 [0.20-0.91]
cases
7/36
18/40
Chlorhexidine COVID-19 outcomes
c19 early .org
December 2025
1 CT: study uses combined treatment
Favors chlorhexidine
Favors control
Fig. S2. Comparison of results for RCTs versus observational studies.
For COVID-19 treatments, there is no significant difference between the results of RCTs and observational studies. Observational studies do not systematically over or underestimate efficacy. For high-cost treatments, there is a non-significant trend towards RCTs showing greater efficacy.
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