Preprint Communication Version 1 Preserved in Portico This version is not peer-reviewed

COVID-19 Therapeutics Use by Social Deprivation in England, July 2020–April 2023

Version 1 : Received: 18 March 2024 / Approved: 19 March 2024 / Online: 20 March 2024 (12:31:11 CET)

How to cite: Falola, A.; Squire, H.; Bou-Antoun, S.; Løchen, A.; Brown, C.S.; Demirjian, A. COVID-19 Therapeutics Use by Social Deprivation in England, July 2020–April 2023. Preprints 2024, 2024031157. https://doi.org/10.20944/preprints202403.1157.v1 Falola, A.; Squire, H.; Bou-Antoun, S.; Løchen, A.; Brown, C.S.; Demirjian, A. COVID-19 Therapeutics Use by Social Deprivation in England, July 2020–April 2023. Preprints 2024, 2024031157. https://doi.org/10.20944/preprints202403.1157.v1

Abstract

Coronavirus disease-19 (COVID-19) has disproportionately affected certain demographics in England, exacerbating existing health disparities. Effective therapeutics are a critical line of defence against COVID-19, particularly for patients at elevated risk for severe disease. Surveillance systems were established to monitor usage of COVID-19 therapeutics in hospital and community settings and inform stewardship. Three antiviral therapies: nirmatrelvir plus ritonavir (Paxlovid®), remdesivir (Veklury®), and molnupiravir (Lagevrio®); and two neutralising monoclonal antibody therapies (nMAbs): sotrovimab (Xevudy®) and casirivimab with imdevimab (Ronapreve®); were in use in England between July 2020 to April 2023. This paper aims to illuminate trends in the utilisation of COVID-19 therapeutics treatment in both hospital and community settings, stratified by the Index of Multiple Deprivation (IMD) in England. Chapter 3 of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) report 2022 to 2023 also discusses the epidemiological surveillance of these five directly-acting antiviral COVID-19 therapeutics use in England between 2022 to 2023.

Keywords

antivirals; community; COVID-19; deprivation; hospital; therapeutics

Subject

Medicine and Pharmacology, Epidemiology and Infectious Diseases

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