Elsevier

The Lancet

Volume 361, Issue 9369, 10 May 2003, Pages 1615-1617
The Lancet

Fast track — Research Letters
Development of a standard treatment protocol for severe acute respiratory syndrome

https://doi.org/10.1016/S0140-6736(03)13265-5Get rights and content

Summary

A series of 31 patients with probable SARS, diagnosed from WHO criteria, were treated according to a treatment protocol consisting of antibacterials and a combination of ribavirin and methylprednisolone. Through experience with the first 11 patients, we were able to finalise standard dose regimens, including pulsed methylprednisolone. One patient recovered on antibacterial treatment alone, 17 showed rapid and sustained responses, and 13 achieved improvement with step-up or pulsed methylprednisolone. Four patients required short periods of non-invasive ventilation. No patient required intubation or mechanical ventilation. There was no mortality or treatment morbidity in this series.

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