Is Ozone therapy an adjunct treatment for SARS-CoV-2 / COVID-19 infection?

Autores

  • Pedro Ivan Arias Vazquez Juarez Autonomous University of Tabasco, Comalcalco Tabasco, Mexico https://orcid.org/0000-0003-4510-3161
  • Russell Arcila Novelo Autonomous University of Yucatan. Merida, Yucatan, Mexico
  • María Antonieta Ramírez Wakamatzu Medical Center Aruku, Mexico City, Mexico

DOI:

https://doi.org/10.1590/s2175-97902022e20775

Palavras-chave:

Ozone therapy, Infection, COVID-19

Resumo

Up to today, there is no specific treatment against SARS-CoV-2 / COVID-19 infection; there the necessity to search for alternatives that help patients with COVID-19. The objective of this study was to review the use of ozone therapy as adjunct treatment for SARS-CoV-2 / COVID-19 infection, highlighting the mechanisms of action, forms of application and current clinical evidence. A systematic review was conducted in electronic databases, searching the terminology Ozone “or” Ozone therapy “and” SARS-CoV-2 or COVID-19 or Coronavirus. Results: nineteen studies were included; ten were editorials, comments, brief reports or reviews, and nine clinical studies. We found that ozone therapy could be favorable for treating patients infected with SARS-CoV-2 / COVID-19, through a direct antiviral effect, regulation of oxidative stress, immunomodulation and improvement of oxygen metabolism. Patients who were treated with ozone therapy responded favorably; therefore, ozone therapy appears to be a promising treatment for patients infected with SARS-CoV-2 / COVID-19. Its mechanism of action justifies its use as an adjuvant therapy; however, scientific evidence is based on case series and clinical trials are necessary to corroborate its effectiveness and safety.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Calunga JL, Paz Y, Menéndez S, Martínez A, Hernández A. Rectal ozone therapy for patients with pulmonary emphysema. Rev Med Chile. 2011;139(4):439-47.

Elvis AM, Ekta JS. Ozone therapy: A clinical review. J Nat Sci Biol Med. 2011;2(1):66-70.

Farias JBF, Farias APF, Souza AG. Ozone therapy as an adjunct in the treatment to COVID-19. Rev Bras Fisiol Exerc. 2020;19(2supl):S5-S8.

Fernández-Cuadros MA, Albaladejo-Florín MJ, Álava- Rabasa S, Usandizaga-Elio I, Martinez-Quintanilla Jimenez D, Peña-Lora D, et al. Effect of Rectal Ozone (O3) in Severe COVID-19 Pneumonia: Preliminary Results. SN Compr Clin Med. 2020b;3:1-9.

Fernández-Cuadros MA, Albaladejo-Florín MJ, Peña- Lora D, Álava-Rabasa S, Pérez-Moro OS. Ozone (O3) and SARS-CoV-2: Physiological Bases and Their Therapeutic Possibilities According to COVID-19 Evolutionary Stage. SN Compr Clin Med . 2020a; 2(8):1094-1102.

Franzini M, Valdenassi L, Ricevutic G, Chirumbolod S, Depfenharte M, Bertossif D, et al. Oxygen-ozone (O2- O3) immunoceutical therapy for patients with COVID-19. Preliminary evidence reported. Int Immunopharmacol. 2020;88:106879.

FSBI “NMITs AGP named after V.I. Kulakov” of the Ministry of Health of Russia, Moscow: Use of ozone therapy in the complex treatment of patients with COVID-19. Statement, 2020. [cited 2020 Jun 15]. Available at: Available at: https://www.covid19.ozonetherapy.ru/post/%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BE%D0%B7%D0%BE%D0%BD%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D0%B8-%D0%B2-%D0%BA%D0%BE%D0%BC%D0%BF%D0% BB%D0%B5%D0%BA%D1%81%D0%BD%D0%BE%D0% BC-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0% B8%D0%B8-%D0%BF%D0%B0%D1%86%D0%B8%D0%B5%D0%BD%D1%82%D0%BE%D0%B2-%D1%81-covid-19

» https://www.covid19.ozonetherapy.ru/post/%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-%D0%BE%D0%B7%D0%BE%D0%BD%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D0%B8-%D0%B2-%D0%BA%D0%BE%D0%BC%D0%BF%D0% BB%D0%B5%D0%BA%D1%81%D0%BD%D0%BE%D0% BC-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0% B8%D0%B8-%D0%BF%D0%B0%D1%86%D0%B8%D0%B5%D0%BD%D1%82%D0%BE%D0%B2-%D1%81-covid-19

Hashemi M, Khameneh SM, Mohajerani SA, Dadkhah P. Effect of intraarticular injection of ozone on inflammatory cytokines in knee osteoarthritis. J Cell Mol Anesth. 2017;2(2):37-42.

Hernández A, Papadakos PJ, Torres A, González DA. Vives M, Ferrando C, et al. Dos terapias conocidas podrían ser efectivas como adyuvantes en el paciente crítico infectado por COVID-19. Rev Esp Anestesiol Reanim. 2020a;67(5):245-52.

Hernández A, Viñals M, Isidoro T, Vilás F. Potential Role of Oxygen-Ozone Therapy in Treatment of COVID-19 Pneumonia. Am J Case Rep. 2020b;21:e925849.

Hernández A, Viñals M, Pablos A, Vilás F, Papadakos PJ, Wijeysundera D, et al. Ozone Therapy for Patients with SARS-COV-2 Pneumonia: A Single-Center Prospective Cohort Study. Insights Biomed. 2020c;5(4):13.

Hongzhou Lu. Drug Treatment Options for the 2019-new Coronavirus (2019-nCoV). Biosci Trends. 2020;14(1):69-71.

International Scientific Committee for Ozone Therapy (ISCO3): Potential Use of Ozone in SARS-CoV-2 / COVID-19: Expert and official opinión, 2020. [cited 2020 Mar 13]. Available at: Available at: https://isco3.org/wp-content/ uploads/2020/04/English-Covid-19-2.pdf

» https://isco3.org/wp-content/ uploads/2020/04/English-Covid-19-2.pdf

Marini S, Maggiorotti M, Dardes N, Bonetti N, Martinelli M, Re L, et al. Oxygen-ozone therapy as adjuvant in the current emergency in SARS-COV-2 infection: a clinical study. J Biol Regul Homeost Agents. 2020;34(3):10.23812/20-250-E-56.

Martínez-Sánchez G, Schwartz A, Donna VD. Potential Cytoprotective Activity of Ozone Therapy in SARS-CoV-2/COVID-19. Antioxidants. 2020;9(5):E389.

Menéndez-Cepero S, Marques-Magallanes-Regojo JA, Alberto Hernández-Martinez A, Hidalgo-Tallón FJ, Baeza- Noci J. Therapeutic Effects of Ozone Therapy that Justifies its Use for the Treatment of COVID-19. J Neurol Neurocrit Care. 2020;3(1):1-6.

Obeid BMA. Ozone Autohemotherapy: Possible Mechanisms of Anti-Viral Action and Anti Oxidative. J Infect Dis Epidemiol. 2020;6(2):117.

Pascarella G, Strumia A, Piliego C, Bruno F, Del Buono R, Costa F. COVID-19 Diagnosis and Management: A Comprehensive Review. J Intern Med. 2020;288(2):192-206.

Peña-Lora DY, Albaladejo-Florín MJ, Fernández-Cuadros ME. Usefulness of rectal ozonetherapy in a geriatric patient with severe COVID-19 pneumonia. Rev Esp Geriatr Gerontol. 2020. (in press). doi:10.1016/j.regg.2020.07.005

» https://doi.org/10.1016/j.regg.2020.07.005

Ricevuti G, Franzini M, Valdenassi L. Oxygen-ozone immunoceutical therapy in COVID-19 outbreak: facts and figures. Ozone Therapy. 2020;5(1):9014.

Rowen RJ, Robins H, Carew K, Kamara MM, Jalloh MI. Rapid resolution of hemorrhagic fever (Ebola) in Sierra Leone with Ozone therapy. Afr J Infect Dis. 2016;10(1):49-54.

Rowen RJ, Robins H. Plausible “Penny” Costing Effective Treatment for Corona Virus-Ozone Therapy. J Infect Dis Epidemiol . 2020;6(2):113.

Rowen RJ. Ozone and oxidation therapies as a solution to the emerging crisis in infectious disease management: a review of current knowledge and experience. Med Gas Res. 2019;9(4):232-37.

Sanders J, Monogue ML, Jodlowski TZ, Cutrell JB. Pharmacologic Treatments for Coronavirus Disease 2019 (COVID-19) A Review. JAMA. 2020;323(18):1824-36.

Smith NL, Wilson AL, Gandhi J, Vatsia S, Khan SA. Ozone therapy: an overview of pharmacodynamics, current research, and clinical utility. Med Gas Res . 2017;7(3):212-9.

Spanish Association of Medical Professionals in Ozone Therapy (AEPROMO): Very positive and rapid results obtained with Ozonized Saline Solution in patients hospitalized for COVID-19: Statement, 2020. [cited 2020 Jul 6]. Available at: Available at: https://aepromo.org/coronavirus/7comunicado_ingles.pdf

» https://aepromo.org/coronavirus/7comunicado_ingles.pdf

Sullivan D, Chung KC, Eaves FF, Rohrich RJ. The Level of Evidence Pyramid: Indicating Levels of Evidence in Plastic and Reconstructive Surgery Articles. Plast Reconstr Surg. 2011;128(1):311-4.

Schwartz A, Martínez-Sánchez G, Menassa de Lucía A, Mejía-Viana S, Alina-Mita C. Complementary Application of the Ozonized Saline Solution in Moderate and Severe Patients with Pneumonia Covid-19: Efficacy and Tolerability. Preprints 2020, 2020060233. doi:10.20944/preprints202006.0233.v1

» https://doi.org/10.20944/preprints202006.0233.v1

Schwartz A, Narros RM. COVID-19 Dermatological manifestations. Presentation of two cases. Ozone Ther Global J. 2020;10(1):27-38.

Takon-Oru G, Viebahn-Haensler R, Garcia-Fernández E, Alvárez-Almiñaque D, Polo-Vega JC, Tamargo-Santos B, et al. Medical Ozone Effects and Innate Immune Memory in Rheumatoid Arthritis Patients Treated with Methotrexate+Ozone After a Second Cycle of Ozone Exposure. Chron Pain Manag. 2019:2:114.

U.S. National Library of Medicine: ClinicalTrials.gov Ozone / COVID. [cited 2020 Sep]. Available at: Available at: https://clinicaltrials.gov/ct2/results?cond=ozone+and+covid&term=&cntry=&state=&city=&dist=

» https://clinicaltrials.gov/ct2/results?cond=ozone+and+covid&term=&cntry=&state=&city=&dist=

Valdenassi L, Franzini M, Ricevuti G, Rinaldi L, Tirelli U. Potential mechanisms by which the oxygen-ozone (O2- O3) therapy could contribute to the treatment against the coronavirus COVID-19. Eur Rev Med Pharmacol Sci. 2020;24(8):4059-61.

World Federation of Ozone Therapy: COVID19 and ozone therapy (2.1), 2020. [cited 2020 Mar]. Available at: Available at: https://asociatia-ozonoterapie.ro/wpcontent/uploads/2020/03/OTCoV22F.pdf

» https://asociatia-ozonoterapie.ro/wpcontent/uploads/2020/03/OTCoV22F.pdf

Wu J, Tan C, Yu H, Wang Y, Tian Y. Case Report: Recovery of One ICU-Acquired COVID-19 Patient Via Ozonated Autohemotherapy. SSRN. 2020. doi:10.2139/ssrn.3561379

» https://doi.org/10.2139/ssrn.3561379

Zaky S, Kamel SE, Hassan MS, Sallam NA, Shahata MA, Helal SR, et al. Preliminary results of ozone therapy as a possible treatment for patients with chronic hepatitis C. J Altern Complement Med. 2011;17(3):259-63.

Zhai P, Ding Y, Wu X, Long J, Zhong Y, Lie Y. The epidemiology, diagnosis and treatment of COVID-19. Int J Antimicrob Agents. 2020;55(5):105955.

Zheng Z, Dong M, Ku H. A preliminary evaluation on the efficacy of ozone therapy in the treatment of COVID-19. J Med Virol. 2020;92(11):2348-2350. doi: 10.1002/jmv.26040

» https://doi.org/10.1002/jmv.26040

Downloads

Publicado

2022-12-23

Edição

Seção

Revisão

Como Citar

Is Ozone therapy an adjunct treatment for SARS-CoV-2 / COVID-19 infection?. (2022). Brazilian Journal of Pharmaceutical Sciences, 58. https://doi.org/10.1590/s2175-97902022e20775