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Table 1 Guideline questions and outcomes of importance

From: Pan-American Guidelines for the treatment of SARS-CoV-2/COVID-19: a joint evidence-based guideline of the Brazilian Society of Infectious Diseases (SBI) and the Pan-American Association of Infectious Diseases (API)

Question

Critical outcomes

Important outcomes

1. Should tixagevimab + cilgavimab be recommended for pre-exposure prophylaxis in people at high risk of developing severe COVID-19?

Symptomatic COVID-19

Adverse event with death

Serious adverse event

2. Should certain (see bottom of table) monoclonal antibodies be recommended for outpatients with mild COVID-19?a

Hospitalisation

Death

Serious adverse event

3. Should molnupiravir be recommended for outpatients with mild COVID-19?

Hospitalisation

Death

Serious adverse event

4. Should nirmatrelvir/ritonavir be recommended for outpatients with mild COVID-19?

Hospitalisation

Death

Serious adverse event

5. Should remdesivir be recommended for outpatients with mild COVID-19?

Hospitalisation

Death

Serious adverse event

6. Should hydroxychloroquine or chloroquine be recommended for outpatients with mild COVID-19?

Hospitalisation

Death

Serious adverse event

7. Should ivermectin be recommended for outpatients with mild COVID-19?

Hospitalisation

Death

Serious adverse event

8. Should remdesivir be recommended for hospitalised patients with severe COVID-19?

Mechanical ventilation

Death

Serious adverse event

9. Should baricitinib be recommended for hospitalised patients with severe COVID-19?

Mechanical ventilation

Death

Serious adverse event

10. Should tocilizumab be recommended for hospitalised patients with severe COVID-19?

Mechanical ventilation

Death

Serious adverse event

  1. aIn this question, the following monoclonal antibodies were considered: bamlanivimab + etesevimab, casirivimab + imdevimab, sotrovimab, bebtelovimab, and tixagevimab + cilgavimab. During the panel, members decided not to make recommendations for bamlanivimab, casirivimab, etesevimab, imdevimab, regdanvimab, and sotrovimab due to a lack of evidence of effectiveness in the scenario of omicron variant circulation and for bebtelovimab due to lack of evidence of effectiveness