Table 1.
Study | Number of patients | Severity | Patient treatment | Intravenous Immunoglobulin dosage | Considerations | Outcome |
---|---|---|---|---|---|---|
Xie et al, [25] | 58 | Severe/Critical | Oxygen Therapy, Abidor antiviral treatment, Moxifloxacin, Heparin |
20 g/day administered either < 48 h or > 48 h following patient admission |
>48 h group required higher dosage of IVIG | IVIG treatment within 48 h resulted in lower morbidity compared to treatment > 48 h after admission. Length of treatment and ICU stay was shorter if treated < 48 h after admission Proportion of patients requiring mechanical ventilation was lower when treated within 48 h of admission |
Mohtadi et al., [26] | 5 | Severe |
Combinations of: Hydroxychloroquine, Kaletra, Oseltamivir, Vancomycin, Levofloxacin, Tavanx, Azithromycin, Ceftriaxone, Meropenem, Imipenem |
25–30 g/day for 5 days 9–14 days after admission |
All patients had been intubated | Clinical and respiratory conditions improved Saturated oxygen levels increased resulting in quicker extubating of patients. Obvious improvements in pulmonary Lesions on CT scans. All patients discharged with good general condition and stabilized vital signs. |
Cao et al., [27] | 3 | Severe | Combinations of: Supportive care and empirical Moxifloxacin, Methylprednisolone, Lopinavir/ritonavir |
25 g/day for 5 days 1–7 days after admission |
All patients exhibited decreased oxygen saturation | Saturated oxygen levels increased resulting in quicker extubating of patients. All patients discharged with good general condition and stabilized vital signs. |
Shao et al., [28] | 325 | Severe/Critical | N/A | <15 g or > 15 g per day <7 days or > 7 days |
IVIG-treated patients had higher Acute Physiology and Chronic Health Evaluation and Sequential Organ Failure Assessment scores, higher plasma levels of IL-6 and lactate, and lower lymphocyte count and oxygenation index | IVIG significantly reduced the 28-day mortality, the inflammatory response, and improved some organ functions, but only in critical patients >15 g/day IVIG reduced 28-day and 60-day mortality and increased survival time, particularly in critical patients Early administration of IVIG (≤7d) reduced 60-day mortality, total in-hospital stay, and total course of disease, Early administration of IVIG (≤7d) significantly increased survival time and improved inflammatory response and some organ functions. 28-day and 60-day mortality were not improved with IVIG in severe patients in-hospital stay and the total duration of disease were longer in IVIG group in severe patients |
Aljaberi and Wishah, [29] | 1 | Severe/Critical | Ceftriaxone, Doxycycline, Hydroxychloroquine 2 L/minute oxygen by nasal cannula |
40 g every 2 weeks | Leukopenia (lymphopenia), normal coagulation profile, electrolytes, and liver 17 function. Flu/RSV panels were negative intubation and mechanical ventilation by day 7 |
Extubated on Day 13 and discharged on Day 14 |
Lanza et al., [30] | 1 | Severe/Critical | Hydroxychloroquine Azithromycin |
450 mL (5 mL/kg) at 36 mL/h × 3 days with premedication with antihistamine and rehydration, followed by a decrease in infusion to 28 mL/h and subsequently extended total administration to 4 days |
Deteriorating respiration and bloodwork | Improvement in clinical and pulmonary function CT scan showed a massive reduction in parenchymal consolidations, Patient discharged with good general condition and stabilized vital signs. |