The state government on Friday released a discharge policy for Covid patients recovered with the Omicron variant. State Health Commissioner Dr Randeep has asked district and BBMP health authorities to follow the discharge policy “for institutionally isolated Covid-19 patients (Omicron variant) until further notice.”
In mild, moderate and severe cases (including immunocompromised HIV patients, transplant recipients, malignant tumors), the patient may be discharged after 10 days of onset of symptoms if there is no fever, d shortness of breath or any other symptom in the last three consecutive days before discharge without antipyretics (medicine used to prevent or reduce fever).
The patient should maintain saturation above 95% for the last four consecutive days without oxygen support. There should be resolution of clinical signs and symptoms based on the investigation report.
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Patients should undergo repeated testing for inflammatory markers such as S-ferritin, S.LDH, D-Dimer, and CRP upon discharge. These should be in the normal range or in a downtrend. Patients should only be discharged after two negative RT-PCR reports 24 hours apart. If the report is positive, the swab test should be repeated after 48 hours.
Upon discharge, the patient is advised to self-quarantine at home and self-monitor for an additional seven days. The District Surveillance Officer (DSO) will monitor these people at their homes for their state of health. They will be monitored by the monitoring team in the community and using the quarantine application.
In home quarantine, RT-PCR is repeated on the sixth day of home quarantine, if negative, patients can be released from home quarantine. All patients notified of home quarantine after discharge should watch for new symptoms such as fever, cough, shortness of breath, chest pain, weakness, etc. If any of these symptoms are detected, they are immediately advised to consult the doctor.
If there is no facility for home quarantine, institutional quarantine is advised.
Since the circular does not mention Omicron suspects awaiting genomic sequencing results, Dr K Ravi, professor of medicine and chairman of the Covid-19 State Clinical Experts Committee clarified to DH: “Even Omicron suspects who test positive for Covid at the airport will be sent to designated hospitals. If they test Omicron positive they will stay in the hospital, if they test negative the existing protocol for other Covid patients will apply in which asymptomatic patients do not need to be hospitalized. “
Any deviation from the exit policy will be taken seriously, Randeep said in his Dec. 9 order. The state government has so far identified only two designated hospitals for Omicron patients: Wenlock Hospital in Mangaluru and Bowring and Lady Curzon Hospital in Bengaluru.
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