No need for tests after 10 days of home isolation in mild cases: New guidelines


New Delhi, May 6 (IANS): The Union Health Ministry has issued revised guidelines for home isolation for patients with mild or asymptomatic symptoms.

The new revised guidelines said, "Patient under home isolation will stand discharged and end isolation after at least 10 days have passed from onset of symptoms (or from date of sampling for asymptomatic cases) and no fever for 3 days. There is no need for testing after the home isolation period is over."

As per the revised guidelines, the patient should be clinically assigned a mild/asymptomatic case by the treating Medical Officer."The asymptomatic cases are laboratory confirmed cases not experiencing any symptoms and having oxygen saturation at room air of more than 94 per cent.

Clinically assigned mild cases are patients with upper respiratory tract symptoms (and/or fever) without shortness of breath and having oxygen saturation at room air of more than 94 per cent are recommended for home isolation," the revised guidelines said.

It said that a caregiver should be available to provide care on a 24x7 basis and a communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation.Elderly patients aged more than 60 years and those with co-morbid conditions such as hypertension, diabetes, heart disease, chronic lung/liver/ kidney disease, cerebro-vascular disease shall only be allowed home isolation after proper evaluation by the treating medical officer.

Talking about treatment protocols, the revised guideline said, "Patients must be in communication with a treating physician and promptly report in case of any deterioration. If fever is not controlled with a maximum dose of Tab. Paracetamol 650mg four times a day, consult the treating doctor who may consider advising other drugs like non-steroidal anti-inflammatory drugs (NSAID) (ex: Tab. Naproxen 250 mg twice a day)."

It further stated that consider Tab Ivermectin (200 mcg/kg once a day, to be taken empty stomach) for 3 to 5 days. Inhalational Budesonide (given via inhalers with spacer at a dose of 800 mcg twice daily for 5 to 7 days) to be given if symptoms (fever and/or cough) are persistent beyond 5 days of disease onset.

"The decision to administer Remdesivir or any other investigational therapy must be taken by a medical professional and administered only in a hospital setting. Do not attempt to procure or administer Remdesivir at home," it said.

As per the guidelines,a patient under home isolation seeks immediate medical attention if serious signs or symptoms develop which could include difficulty in breathing, dip in oxygen saturation, persistent pain pressure in the chest and mental confusion or inability to arouse.

 

 

 

 

 

 

  

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Comment on this article

  • Jossey Saldanha, Mumbai

    Thu, May 06 2021

    Man Ka Doctor ...

    DisAgree Agree [2] Reply Report Abuse

  • Dev, Mangalore

    Thu, May 06 2021

    Science and facts don't lie when it is proven again and every time it is tested or questioned. It's not faith or emotion based that if any questions are raised it has to take cover behind flimsy hearsay. At present the very basis of present measures and protocols are based just on unproven tests and fake narrative about asymptomatic spreading. If questions about them are raised then scientists and doctors along with authorities who are mislead are answerable to the people of the whole world. They have to prove what they claim if not they have to resign or do the right thing to reverse what they have undone. International Laws will take next steps later.

    DisAgree [2] Agree [4] Reply Report Abuse

  • Joel, Mangalore

    Thu, May 06 2021

    The problem here is, how will a poor person who has less knowledge of this disease will come to know if his symptoms are mild or severe ?

    DisAgree Agree [3] Reply Report Abuse

  • Roger, Palimar

    Thu, May 06 2021

    Indian department of health ministry is working on Gayatri Mantr for the cure of Covid 19 ... this is the latest news...... soon all will have an option

    DisAgree [1] Agree [1] Report Abuse

  • Zain, Mangalore/Doha

    Thu, May 06 2021

    Qatar health care is following same guidelines from past 1 year, but instead of 10 days they consider 14 days.

    DisAgree [1] Agree [3] Reply Report Abuse

  • Ajay Rebello, Kallianpur

    Thu, May 06 2021

    Would also like some medical body such as ICMR or covid task force to give some inputs from medical rather than law and order basis.

    DisAgree Agree [1] Reply Report Abuse

  • kujuma, mangaluru

    Thu, May 06 2021

    health infrastructure in the country has gone for a toss under the third class non-governance of feku and daku. Now they will bark all nonsense to reduce the load on health personnel. Ultimately citizens will be responsible to get themselves treated. third rated besharam party fellows just spead the covid through kumbh mela and election in five states. Moreover, the so called fakir was busy in campaigning in west bengal and did not give any attention tothe spreading epidemic. it is really a pity that this country elected a worthless party and pm to power in the name of religion. now face the music.

    DisAgree [2] Agree [13] Reply Report Abuse

  • Dev, Mangalore

    Thu, May 06 2021

    Slowly the guidelines are relaxing due to overburdened system. A major step forward will be to end testing of Healthy People whom this test protocol creators call asymptomatic, infected, patient to add up the number game. Then soon this menace will end & any mafia making money through any of the means will end too. People can go on carrying out their daily work & jobs giving a spurt to our rock bottom economy. The question is will our political leadership come out of their phobias & myths spread by foreign powers through WHO?

    DisAgree [2] Agree [5] Reply Report Abuse

  • Prakash, Mlore

    Thu, May 06 2021

    Private testing still costs more than 1500 - 2000 rupees, Govt testing takes 4-5 days now. What India needs is free and rapid test results to control asymptomatic spreading. Otherwise what you are saying is absolutely correct.

    DisAgree [2] Agree [6] Report Abuse

  • Dev, Mangalore

    Thu, May 06 2021

    @ Prakash, the very term "Asymptomatic Spreading" is a big lie created to market the test which is not approved by any FDA & thereby create phobia & all the protocols themselves are baseless & unscientific. End the Tests & End the Menace.

    DisAgree [3] Agree [8] Report Abuse

  • Prakash, Mlore

    Thu, May 06 2021

    I have seen relatives gasping for breath, and a 21 year old student with 50 percent damaged lungs. Until we see our loved ones suffer we seem to believe in these kinds of theories. Its sadistic to see people die just to protect economy.

    DisAgree [2] Agree [7] Report Abuse

  • Dev, Mangalore

    Thu, May 06 2021

    Again seeing is not believing. Why it happens is clearly explained by me several times and it seems you are unaware of them. In brief Fear Adverse Drugs Reactions and mismanagement are the main killers aided by media TRP scams . Anyway stories are let loose to avoid true facts and data proves lame excuse.

    DisAgree [2] Agree [2] Report Abuse


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