The SARS-CoV-2 coronavirus pandemic is responsible for more than 180,000 deaths worldwide and 20,000 deaths in France. To date, no treatment or vaccine has been successful. Povidone-iodine is an antiseptic suitable for use on the skin and mucosa with potent virucidal activity, particularly against coronaviruses. It is marketed for oro-nasopharyngeal decolonization. 24 patients with positive nasopharyngeal SARS-CoV-2 carriage will be randomized (1:1) in an experimental group (benefiting from povidone iodine decolonization) or a control group. Patients in the experimental group will be asked to gargle with a 1% povidone-iodine solution, spray their nose with the same antiseptic solution, and finally applied 10% povidone-iodine cream in each nostril, all four times a day for five days. Patients will be followed for 7 days to evaluate the efficacy and safety of povidone iodine decolonization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Patients in the experimental group will be asked to gargle with a 1% povidone-iodine solution, spray their nose with the same antiseptic solution, and finally applied 10% povidone-iodine cream in each nostril, all four times a day for five days.
University Hospital of Poitiers
Poitiers, France
Change from baseline naso-pharyngeal viral load quantified by RT-PCR at Day7
Time frame: Day 7
Delay between inclusion and negativation of SARS-CoV-2 nasopharyngeal carriage
Time frame: Day0, Day1, Day3, Day5 and Day7
Delay between inclusion and negativation of SARS-CoV-2 nasopharyngeal cell cultures
Time frame: Day0, Day1, Day3, Day5 and Day7
Thyroid tests at Day0 and Day7
Time frame: Day0 and Day7
Patient satisfaction at Day7 using a numerical comfort scale, graduated from 0 (any discomfort) to 10 (maximum possible discomfort)
Time frame: Day7
Daily presence of clinical signs in favour of COVID-19, including respiratory distress using NYHA scale, chest pain, anosmia, agueusia, tiredness, cough, stiffness, nasal congestion, dysphagia and diarrhea
Time frame: Day0, Day1, Day3, Day5 and Day7
Need for ward or intensive care hospitalization
Time frame: Day0, Day1, Day3, Day5 and Day7
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