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The Minister of Health, Nelu Tătaru, detailed in an interview for Digi24 what kinds of treatments are used for COVID patients in Romania, showing that everything that is used worldwide is also used in Romania, including Remdesivir or hydroxychloroquine.
He contradicted Professor Serban Bubenek, president of the Romanian Society of Anesthesia and Intensive Care, who told Digi24 on Tuesday that in Romania there is no transparency about how Remdesivir is assigned, essential in the treatment of very serious cases of Covid. -19. Professor Bubenek said that, by doing a simple calculation, some 1,900 people in intensive care units did not receive Remdesivir, although there is no data on how many of them died from coronavirus.
Remdesivir status
“We cannot come to this conclusion, antiviral treatment is not a specific treatment or a life-saving treatment or a panacea. We need to put the context of a death in a multitude of pathologies, as well as the severity of the disease. We think pragmatically, but we think medically, considering that this infection causes mortality, but this mortality occurs in a proportion of 98 percent to those with comorbidities, by decompensating these morbidities ”, commented Nelu Tătaru in the interview for Digi24.
He said that since the beginning of July, 11,829 doses of Remdesivir have been administered and there are still 4,000 doses in storage.
“It is a treatment that is administered for moderate-severe forms. It is administered at an early stage, a five-day treatment, usually for those in intensive care. We complete the treatment with hydroxychlorochină, Kaletra or then supplemented with all means immunomodulators, anticoagulants, dexamethasones, as well as other antivirals, “said Nelu Tătaru.
He added that other antivirals are used, not just Remdesivir, and from Monday, for example, there will be 200,000 tablets in Romanian warehouses. favipiravir, an antiviral that prevents the replication of the coronavirus.
We don’t have that miracle cure for coronavirus
“We do not have to stick to that constant, to understand that we have an off-label treatment. We do not have a specific treatment for the coronavirus, we have a general antiviral treatment, which can improve the evolution of a disease, but we do not have that miraculous treatment that stop this disease. We use everything that is used globally, in the context in which we have the crisis that we have globally when we talk about Remdesivir“Nelu Tătaru showed.
He also said that a contract is being concluded these days on the basis of which there is a promise to buy 12,000 doses of Remdesivir from the manufacturer in October. The doses have so far been donated by the European Commission, and would now be purchased for a fee, from the manufacturer, through purchases from the Ministry of Health.
“It remains to evaluate each patient and see if they meet those criteria that can benefit from this treatment with Remdesivir, because it is not given in any condition and not to any patient,” insisted the Minister of Health.
“It is a complex treatment. If we talk about SARS-CoV-2, where we have a non-specific treatment, an off-label treatment, the basis continues to be cardiovascular and respiratory support, which can be supported with drugs or devices”, explained Nelu Tătaru .
The Minister of Health also spoke about the monoclonal antibody treatment used in the case of Donald Trump. “We also use them, not necessarily for SARS-CoV-2 pathology, but it is an ongoing study (in” Balş “- no). We see, to the extent that the study has results, we can also give it,” he said. Nelu Tătaru.
Intensive care reorganization
The Minister also spoke about the current epidemiological situation in Romania, showing that we are in progressive growth in terms of new cases. reThe alarming divisions on Wednesday, when negative records were recorded over negative records, are nothing more than the bill for non-compliance with the rules, explained the Minister of Health in the interview for Digi24.
Asked about the tightening of restrictions, he said that “we must not become a police state, we also need civic spirit” and announced that the Ministry of Health will make more and more controls through hospitals and DSP. “But it is up to the civilian population to respect those rules. In vain do we do these controls, in vain are those fines given, if what follows is exactly the same. We cannot ignore some rules and then we can shout that we do not have a place in the hospital or why he dies. That is why he dies!”- Nelu Tătaru pointed out.
The solution for the current situation is a rethinking of the hospitalization system, depending on the severity, the symptoms, with greater attention to intensive care. “We have 199 intubated cases out of 612 for ATI, but an intensive care case can decompensate overnight and we still have those intermediate cases, which make the difference between a moderate case and a severe case. The reorganization of these intensive care units will make a difference for the next period. We have 1,050 beds, but we have to manage them very well, intermediate therapy cases will be next to those of intensive care, thus limiting the occupation of the number of beds and having available even where we are crowded at the moment ”, said Nelu Tătaru .
“We have an intensive care dynamic and we can relocate patients to ATI depending on the need to be intubated or not. We reevaluated both behavior and treatment, “said Nelu Tătaru. He stressed that intensive care is a supportive treatment, replacing certain organ functions until the body recovers and can resume these activities.
Editor: Luana Pavaluca
