COVID-19 testing (Representational photo)
New Dekhi: The Union health ministry on Thursday issued the “Revised guidelines for home isolation of mild/asymptomatic COVID-19 cases”.
As per the new guidelines, the health ministry categorically stated that the decision to administer Remdesivir or any other investigational therapy must be taken by a medical professional and administered only in a hospital setting. The Centre advised people to not attempt to procure or administer Remdesivir at home.
As per the revised guidelines, systemic oral steroids are not indicated in mild disease. If symptoms persist beyond 7 days (persistent fever, worsening cough etc.), the health ministry advised people to consult the treating doctor for treatment with low dose oral steroids.
At a time, when thousands of COVID patients are facing breathing problems and are in dire need of oxygen, the MoHFW stated that in case of falling oxygen saturation or shortness of breath, the person should require hospital admission and seek immediate consultation of their treating physician/surveillance team.
The health ministry advised the patients to perform warm-water gargles or take steam inhalation twice a day.
“If fever is not controlled with a maximum dose of tablet Paracetamol 650 mg four times a day, consult the treating doctor who may consider advising other drugs like non-steroidal anti-inflammatory drug (NSAID) (ex: tablet Naproxen 250 mg twice a day).
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 guidelines stated.
If one is having difficulty in breathing, dip in oxygen saturation (SpO2 < 94% on room air), persistent pain/pressure in the chest and mental confusion or inability to arouse, then he/she should seek medical attention.
Asymptomatic cases, mild cases of COVID-19
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 (&/or fever) without shortness of breath and having oxygen saturation at room air of more than 94 per cent.
Guidelines for 60+ and people with co-morbid conditions
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 etc shall only be allowed home isolation after proper evaluation by the treating medical officer.
When to discontinue home isolation
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, the MoHFW guidelines said.
Click here to read the complete list of guidelines.