Frontiers in Pharmacology (Mar 2022)

Association Between Drug Treatments and the Incidence of Liver Injury in Hospitalized Patients With COVID-19

  • Suyu Gao,
  • Qingqing Yang,
  • Xuanxuan Wang,
  • Wen Hu,
  • Yun Lu,
  • Kun Yang,
  • Qiaoli Jiang,
  • Wenjing Li,
  • Haibo Song,
  • Haibo Song,
  • Feng Sun,
  • Hong Cheng

DOI
https://doi.org/10.3389/fphar.2022.799338
Journal volume & issue
Vol. 13

Abstract

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The outbreak of coronavirus disease 2019 (COVID-19) has led to the emergence of global health care. In this study, we aimed to explore the association between drug treatments and the incidence of drug-induced liver injury (DILI) in hospitalized patients with COVID-19. A retrospective study was conducted on 5113 COVID-19 patients in Hubei province, among which 395 incurred liver injury. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated by Cox proportional hazards models. The results showed that COVID-19 patients who received antibiotics (HR 1.97, 95% CI: 1.55–2.51, p < 0.001), antifungal agents (HR 3.10, 95% CI: 1.93–4.99, p < 0.001) and corticosteroids (HR 2.31, 95% CI: 1.80–2.96, p < 0.001) had a higher risk of DILI compared to non-users. Special attention was given to the use of parenteral nutrition (HR 1.82, 95% CI: 1.31–2.52, p < 0.001) and enteral nutrition (HR 2.71, 95% CI: 1.98–3.71, p < 0.001), which were the risk factors for liver injury. In conclusion, this study suggests that the development of DILI in hospitalized patients with COVID-19 needs to be closely monitored, and the above-mentioned drug treatments may contribute to the risk of DILI.

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