New Delhi. CoronaVirus In India: In view of the rapidly increasing cases of Corona and Omicron across the country, the Central Government has amended the Clinical Guidelines. Issuing new guidelines, the government has asked doctors to avoid the use of steroids in the treatment of Kovid patients at all costs. Let us inform that this new guideline has been issued by All India Institute of Medical Sciences (AIIMS), Indian Council of Medical Research (ICMR)-Covid-19 National Task Force and Joint Monitoring Group (DGHS) under Union Health Ministry.
Know what is the revised new guidelines
In the new guidelines, it has been said that if the symptoms of Kovid arise in the upper respiratory tract of a patient and the patient does not have problems like breathing or hypoxia, then it is kept in mild symptoms and he should be treated in home isolation. Advice has been given. Patients with mild symptoms are advised to go to the doctor if they have difficulty in breathing, or have high fever or severe cough for more than five days.
If someone is having persistent cough or is not getting better for two-three weeks, then he should get tested for tuberculosis (TB) or any other similar disease.
If the oxygen saturation in a patient is fluctuating between 90 to 93 percent and they are having difficulty in breathing, then they should be admitted to the hospital. These are moderate symptoms and such patients should be given oxygen support.
If a patient has a respiratory rate above 30 per minute, difficulty in breathing, and oxygen saturation below 90 per cent of room temperature, it will be considered as severe symptomatic and the patient should be admitted to the ICU as he is not able to breathe. Support will be needed.
Non-invasive ventilation (NIV)-helmet and face mask interface will be fitted to patients who will need more oxygen and have slow breathing.
Emergency or ‘off label’ use of Remdesivar is permitted in patients with mild to severe symptoms. It can only be used on patients who have not complained of ‘renal’ or ‘hepatic dysfunction’ within 10 days of having any symptoms.
Why is an overdose of steroids forbidden?
This revised new guideline states that drugs containing steroids can increase the risk of secondary infections such as mucormycosis or black fungus if used earlier, or in higher doses or for longer periods of time.
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People over the age of 60 are more at risk
It has been reported in people over the age of 60 or those with cardiovascular disease, hypertension, coronary artery disease, diabetes or immunocompromised conditions such as HIV, tuberculosis, chronic lung, kidney or liver disease, cerebrovascular disease and severe obesity. There is a high risk of falling ill or dying.