CONVALESCENT PLASMA TREATMENT GUIDELINES
Future Medicine India|May 2021
Plasma from donors who have recovered from COVID-19 may contain antibodies to SARS-CoV-2 that may help suppress the virus and modify the inflammatory response.1 The Food and Drug Administration (FDA) issued an Emergency Use Authorisation (EUA) for convalescent plasma for the treatment of certain hospitalised patients with COVID-19.
CONVALESCENT PLASMA TREATMENT GUIDELINES

Recommendation

• The COVID-19 Treatment Guidelines Panel (the Panel) recommends against the use of low-titer COVID-19 convalescent plasma for the treatment of COVID-19 (AIIb).

* Low-titer COVID-19 convalescent plasma is no longer authorised through the convalescent plasma EUA.

For Hospitalised Patients With COVID-19 Who Do Not Have Impaired Immunity

• The Panel recommends against the use of COVID-19 convalescent plasma for the treatment of COVID-19 in mechanically ventilated patients (AI).

• The Panel recommends against the use of high-titer COVID-19 convalescent plasma for the treatment of COVID-19 in hospitalised patients who do not require mechanical ventilation, except in a clinical trial (AI).

For Hospitalised Patients With COVID-19 Who Have Impaired Immunity

• There are insufficient data for the Panel to recommend either for or against the use of high-titer COVID-19 convalescent plasma for the treatment of COVID-19.

*Observational data including data from case reports, case series, and a retrospective case-control study suggest a benefit of COVID-19 convalescent plasma in patients with various primary and secondary humoral immunodeficiencies.2-16

*Several case reports indicate that patients with impaired humoral immunity may experience persistent SARS-CoV-2 viral replication and therefore, may be at risk for developing viral resistance to SARS-CoV-2 antibodies after treatment with COVID-19 convalescent plasma.17-19

*High-titer convalescent plasma is authorised under the EUA for the treatment of hospitalised patients with COVID-19 and impaired immunity.

For Nonhospitalised Patients With COVID-19

• There are insufficient data for the

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