The Curbsiders Internal Medicine Podcast

#332 Inpatient Covid Management with Dr. Nathan Erdmann

May 2, 2022
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INSIGHT

Two Parallel Treatment Arms

  • COVID care has two overlapping but distinct arms: antiviral therapy and immune modulation.
  • Treating one without considering the other risks mistiming interventions and harming patients.
ADVICE

Use Early Antivirals Or Antibodies

  • For patients with risk factors but no oxygen need, consider outpatient monoclonal antibodies or oral antivirals early.
  • Use available antibody options and prioritize high-risk or under-boosted patients for these therapies.
INSIGHT

Monoclonal Efficacy Is Variant Dependent

  • Monoclonal antibody efficacy depends on circulating variants and has changed over time.
  • Availability and variant sensitivity must guide which antibody product you choose.
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