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Revised guidelines for home isolation of mild, asymptomatic covid cases

As Omicron cases increased across India, the Union Health Ministry released new guidelines for home isolation of mild and asymptomatic COVID-19 patients on Wednesday. After at least 7 days of testing positive and no fever for 3 consecutive days, patients in home isolation will be released and their isolation will be lifted. As per the health ministry, re-testing is not required after the home isolation period has been completed.

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Treatment for patients with mild /asymptomatic disease in home isolation

  • Patients must be in communication with a treating Medical Officer and promptly report in case of any deterioration.
  • The patient must continue the medications for other co-morbidities/illnesses after consulting the treating Medical Officer.
  • Patients may utilize the teleconsultation platform made available by the district/state administration including the e-Sanjeevani teleconsultation platform.
  • Patients to follow symptomatic management for fever, running nose, and cough, as warranted.
  • Patients may perform warm water gargles or take steam inhalation thrice a day.
  • If fever is not controlled with a maximum dose of Tab. Paracetamol 650 mg four times a day, consult the treating doctor
  • Information floating through social media mentioning non-authentic and non-evidence-based treatment protocols can harm patients. Misinformation leads to the creation of panic and in turn undertaking tests and treatment which are not required has to be avoided.
  • Do not rush for self-medication, blood investigation, or radiological imaging Ike chest X-ray or chest CT scan without consultation of your treating Medical Officer.
  • Steroids are not indicated in mild disease and shall not be self-administered. Overuse & Inappropriate use of steroids may lead to additional complications.
  • Treatment for every patient needs to be monitored individually as per the specific condition of the patient concerned and hence generic sharing of prescriptions shall be avoided.
  • In case of falling oxygen saturation or shortness of breath, the person may require hospital admission and shall seek immediate consultation of their treating Medical Officer/surveillance team /Control room.

When to seek medical attention

  • Patients / Caregivers will keep monitoring their health. Immediate medical attention must be sought if serious signs or symptoms develop. These could include-
  • Unresolved High-grade fever (more than 100° F for more than 3 days)
  • Difficulty in breathing
  • Dip in oxygen saturation (Sp02 < 93% on room air at least 3 readings within 1 hour) or respiratory rate >24/ min
  • Persistent pain/pressure in the chest, ‘Mental confusion or inability to arouse,
  • Severe fatigue and myalgia
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