No test for mild or mod­er­ate cases be­fore dis­charge

Hindustan Times (Jalandhar) - - FRONT PAGE - Rhythma Kaul let­ters@hin­dus­tan­times.com

NEWDELHI: The Union health min­istry on Fri­day re­vised its guide­lines for dis­charge of coro­n­avirus dis­ease (Covid-19) pa­tients, say­ing only se­vere cases will be tested once through the real-time poly­merase chain re­ac­tion (RT-PCR) method, af­ter the symp­toms sub­side. The other cat­e­gory of pa­tients, in­clud­ing very mild, mild, pre-symp­to­matic and mod­er­ate cases, need not be tested be­fore they are dis­charged.

The re­vised guide­lines are in com­plete con­trast with the govern­ment’s ear­lier guide­lines that said a case con­firmed by lab­o­ra­tory had to be tested on day 14 once and then again in a span of 24 hours, and the pa­tient will be fit for dis­charge only if both the re­sults are neg­a­tive.

“Af­ter dis­charge from the fa­cil­ity, if they again de­velop symp­toms... con­tact the COVID Care Cen­tre or State helpline or 1075,” the new rules said.

NEWDELHI:The Union health min­istry on Fri­day re­vised its dis­charge guide­lines for coro­n­avirus dis­ease (Covid-19) pa­tients, re­quir­ing only pa­tients who had de­vel­oped a se­vere ill­ness or have com­pro­mised im­mu­nity to test neg­a­tive through a swab test be­fore they are al­lowed to leave the hos­pi­tal or a care cen­tre.

The other cat­e­gory of pa­tients, in­clud­ing very mild, mild, presymp­tomatic and mod­er­ate cases need not be tested be­fore dis­charge.

The re­vised dis­charge guide­lines are in con­trast with the govern­ment’s pre­vi­ous rules that said a lab­o­ra­tory con­firmed case had to be tested on day 14 once and then again in a span of 24 hours -if both the re­sults are neg­a­tive then the pa­tient is fit to be dis­charged from the health care fa­cil­ity.

Joint sec­re­tary, health min­istry, Lav Agarwal, said: “The min­istry has is­sued de­tailed guide­lines as per the clin­i­cal sta­tus of the pa­tient that should be fol­lowed.”

The re­vised dis­charge pol­icy is aligned with guide­lines on the 3-tier Covid-19 health fa­cil­i­ties and the cat­e­go­riza­tion of pa­tients based on clin­i­cal sever­ity — mild, mod­er­ate and se­vere.

“For mild, very mild and presymp­tomatic cases ad­mit­ted to a Covid Care Fa­cil­ity will un­dergo reg­u­lar tem­per­a­ture and pulse mon­i­tor­ing. Pa­tient can be dis­charged af­ter 10 days of symp­tom on­set and if they have no fever for 3 days. There will be no need for test­ing prior to dis­charge. At the time of dis­charge, pa­tient will be ad­vised to fol­low the home iso­la­tion for 7 more days,” say the re­vised guide­lines.

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