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Peer reviewedOpen accessCOVID-19SARS

2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on the Treatment and Management of COVID-19: Antiviral Treatment for Mild to Moderate COVID-19 in Adults

Clinical Infectious Diseases·

Amy Hirsch Shumaker, Adarsh Bhimraj, Roger Bedimo, Vincent Chi-Chung Cheng, Kara W Chew, Eric S Daar, David V Glidden, Robert W Shafer, Phyllis C Tien, Lindsey R Baden, Kelly Cawcutt, Kathleen Chiotos, Amy L Dzierba, Erica J Hardy, Steven Johnson, Arthur Y Kim, Christine MacBrayne, Greg S Martin, Nandita Nadig, Mari M Nakamura, Carlos R Oliveira, Jeffrey C Pearson, Laura Riley, Shmuel Shoham, Pablo Tebas, Zachary Willis, Joshua Wolf, Jennifer Loveless, Rebecca L Morgan, Yngve Falck-Ytter, Rajesh T Gandhi

DOI
10.1093/cid/ciaf680
PMID
41920902
PMCID
OpenAlex
W7147127129
Study type
Guideline
Publisher
Oxford University Press (OUP)
Article type
journal-article
Integrity
current

Why this research matters now

The article provides an evidence-based framework for selecting antiviral treatments for adults with mild to moderate COVID-19. The supplied abstract does not report population-level outcomes or surveillance findings.

01

Structured evidence summary

Research question

The article updates recommendations on antiviral treatment and management for adults with mild to moderate COVID-19, focusing on nirmatrelvir/ritonavir, remdesivir, and molnupiravir.

Study design

This is a clinical practice guideline update developed by an Infectious Diseases Society of America panel. Its recommendations draw on a systematic literature review and use the GRADE framework to rate evidence certainty and recommendation strength.

Population and setting

The recommendations address adults with mild to moderate COVID-19. The supplied evidence does not specify individual study locations or healthcare settings.

Main findings

The panel provides nine updated recommendations concerning nirmatrelvir/ritonavir, remdesivir, and molnupiravir. It also includes guidance on applying the recommendations and an antiviral-selection algorithm.

Public-health relevance

The article provides an evidence-based framework for selecting antiviral treatments for adults with mild to moderate COVID-19. The supplied abstract does not report population-level outcomes or surveillance findings.

Important limitations

The supplied evidence does not state specific guideline limitations. This summary relies only on the single supplied article abstract and metadata; the original paper is required for decision-grade interpretation of the evidence, recommendation conditions, and applicability.

GIDS interpretation

The article is discoverable in contexts concerning COVID-19 treatment and health policy because it is classified under those topics and addresses antiviral recommendations. It provides clinical-guideline context only and does not establish or confirm a live surveillance signal.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

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