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Ursodeoxycholic acid administration did not reduce susceptibility to SARS‐CoV‐2 infection in children

Liu et al., Liver International, doi:10.1111/liv.15660
Jun 2023  
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Case -2% Improvement Relative Risk Case (b) -4% UDCA for COVID-19  Liu et al.  Prophylaxis Does ursodeoxycholic acid reduce COVID-19 infections? Retrospective 226 patients in China No significant difference in cases c19early.org Liu et al., Liver Int., June 2023 Favorsursodeoxycholic acid Favorscontrol 0 0.5 1 1.5 2+
Retrospective 280 Chinese families with children previously seen in a liver clinic assessing whether ursodeoxycholic acid (UDCA) reduced SARS-CoV-2 infection risk. Among infected families, the study found no significant difference in confirmed or suspected SARS-CoV-2 infections between children taking UDCA (80.9%) and those not taking it (77.6%) (p=0.843).
risk of case, 2.1% higher, RR 1.02, p = 0.88, treatment 95 of 146 (65.1%), control 51 of 80 (63.7%), confirmed.
risk of case, 4.3% higher, RR 1.04, p = 0.61, treatment 118 of 146 (80.8%), control 62 of 80 (77.5%), confirmed + suspected.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Liu et al., 29 Jun 2023, retrospective, China, peer-reviewed, survey, 2 authors.
This PaperUDCAAll
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A recent surge of SARS‐CoV‐2 omicron infection ' 'in China allowed study of whether UDCA administration reduced susceptibility to SARS‐CoV‐2 ' 'infection in children with liver ' 'disease.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Through WeChat ' 'groups, a questionnaire was distributed to families (<jats:italic>n</jats:italic>\u2009=\u2009' '300) in which a child had been admitted to our liver service in the past 5\u2009years. Among ' 'the families/households in which someone was infected with SARS‐CoV‐2, the proportion in ' 'which a child taking UDCA was infected was compared with the proportion in which a child not ' 'taking UDCA was ' 'infected.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Of the 300 ' 'questionnaire answers, 280 (93.3%) were valid. SARS‐CoV‐2 infection was confirmed in 226 ' 'families (80.7%): 146 children were taking UDCA (10‐20\u2009mg/kg/day) and 80 children were ' 'not taking UDCA. SARS‐CoV‐2 infection was confirmed in 95 children taking UDCA (65.1%) and in ' '51 children not taking UDCA (63.8%) (<jats:italic>p</jats:italic>\u2009=\u20090.843); ' 'SARS‐CoV‐2 infection was suspected in 23 children taking UDCA (15.8%) and in 11 children not ' 'taking UDCA (13.8%) (<jats:italic>p</jats:italic>\u2009=\u2009' '0.687).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These ' 'results indicate that UDCA administration does not reduce susceptibility to SARS‐CoV‐2 ' 'infection in children with liver disease.</jats:p></jats:sec>', 'DOI': '10.1111/liv.15660', 'type': 'journal-article', 'created': {'date-parts': [[2023, 6, 29]], 'date-time': '2023-06-29T07:35:17Z', 'timestamp': 1688024117000}, 'page': '1950-1954', 'update-policy': 'http://dx.doi.org/10.1002/crossmark_policy', 'source': 'Crossref', 'is-referenced-by-count': 1, 'title': 'Ursodeoxycholic acid administration did not reduce susceptibility to <scp>SARS‐CoV</scp>‐2 ' 'infection in children', 'prefix': '10.1111', 'volume': '43', 'author': [ { 'ORCID': 'http://orcid.org/0000-0002-0858-2151', 'authenticated-orcid': False, 'given': 'Teng', 'family': 'Liu', 'sequence': 'first', 'affiliation': [ { 'name': "The Center for Pediatric Liver Diseases Children's Hospital of " 'Fudan University Shanghai China'}, { 'name': 'Department of Pediatrics Shanghai Medical College, Fudan ' 'University Shanghai China'}]}, { 'ORCID': 'http://orcid.org/0000-0003-0823-586X', 'authenticated-orcid': False, 'given': 'Jian‐She', 'family': 'Wang', 'sequence': 'additional', 'affiliation': [ { 'name': "The Center for Pediatric Liver Diseases Children's Hospital of " 'Fudan University Shanghai China'}, { 'name': 'Department of Pediatrics Shanghai Medical College, Fudan ' 'University Shanghai China'}]}], 'member': '311', 'published-online': {'date-parts': [[2023, 6, 29]]}, 'reference': [ {'key': 'e_1_2_14_2_1', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/s41586-021-04385-3'}, {'key': 'e_1_2_14_3_1', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/s41591-021-01310-z'}, {'key': 'e_1_2_14_4_1', 'doi-asserted-by': 'publisher', 'DOI': '10.3762/bjoc.14.33'}, {'key': 'e_1_2_14_5_1', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/s41586-022-05594-0'}, { 'key': 'e_1_2_14_6_1', 'unstructured': 'YanL.https://www.ecns.cn/news/society/2022‐12‐28/detail‐ihciertf7993989.shtml. 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