May 13, 2021

No RT-PCR Test Needed for Covid-Recovered Individuals At The Time of Hospital Discharge, Says Govt


The federal government on Tuesday issued contemporary advisories on testing people who’ve recovered from Covid-19 and are awaiting discharge from hospitals. The Indian Council of Medical Analysis (ICMR) mentioned no testing is required for COVID-19 recovered people on the time of hospital discharge in accordance with the discharge coverage of Union Well being Ministry. The ICMR additionally issued an advisory stating that it’s crucial to optimise the RTPCR testing and concurrently enhance the entry and availability of testing to all residents of the nation.

Following is a listing of measures beneficial by the ICMR to optimise testing:

– RT-PCR take a look at should not be repeated in any particular person who has examined constructive as soon as both by RAT or RTPCR.

– No testing is required for COVID-19 recovered people on the time of hospital discharge in accordance with the discharge coverage of MoH&FW

– The necessity for RTPCR take a look at in wholesome people enterprise inter-state home journey could also be fully eliminated to cut back the load on laboratories.

– Non-essential journey and interstate journey of symptomatic people (COVID-19 or flu-like signs) ought to be basically averted to cut back the chance of an infection.

– All asymptomatic people enterprise important journey should comply with COVID-appropriate behaviour.

– Cell testing laboratories at the moment are obtainable on GeM portal.

– States are inspired to enhance RTPCR testing by cellular programs.

The well being ministry additionally issued pointers primarily based on medical severity of sufferers.

Following is an in depth checklist of the revised coverage:

– For delicate/very delicate/pre-symptomatic circumstances: Such sufferers admitted to a COVID care facility will endure common temperature and pulse oximetry monitoring. The affected person may be discharged after 10 days of symptom onset and no fever for 3 days. There might be no want for testing previous to discharge. On the time of discharge, the affected person might be suggested to isolate himself at dwelling and self-monitor their well being for additional 7 days. At any level of time, previous to discharge from CCC, if the oxygen saturation dips under 95%, affected person is moved to Devoted COVID Well being Centre (DCHC). After discharge from the power, if he/she once more develops signs of fever, cough or respiration problem he’ll contact the COVID Care Centre or State helpline or 1075. His/her well being will once more be adopted up by tele-conference on 14th day.

– Reasonable circumstances admitted to devoted COVID well being centre (oxygen beds): Sufferers whose signs resolve inside three days and maintains saturation above 95% for the subsequent 4 days (with out oxygen help) might be discharged after 10 days of symptom onset in case of

• Absence of fever with out antipyretics

• Decision of breathlessness

• No oxygen requirement

There might be no want for testing previous to discharge. On the time of discharge, the affected person might be suggested to isolate self at dwelling and self-monitor their well being for an additional seven days.

– Affected person on oxygenation whose fever doesn’t resolve inside three days and demand of oxygen remedy continues might be discharged solely after

• decision of medical signs

• means to keep up oxygen saturation for 3 consecutive days 3. Extreme Instances together with immunocompromised (HIV sufferers, transplant recipients, malignancy) Discharge standards for extreme circumstances might be primarily based on

• Medical restoration

• Affected person examined detrimental as soon as by RT-PCR (after decision of signs)

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