The Union Health Ministry has issued revised guidelines for home isolation for patients with mild or asymptomatic symptoms. 
 
The new revised guidelines said, "Patient under home isolation will stand discharged and end isolation after at least 10 days have passed from onset of symptoms (or from date of sampling for asymptomatic cases) and no fever for 3 days. There is no need for testing after the home isolation period is over."

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As per the revised guidelines, the patient should be clinically assigned a mild/asymptomatic case by the treating Medical Officer. "The asymptomatic cases are laboratory confirmed cases not experiencing any symptoms and having oxygen saturation at room air of more than 94 per cent. 
 
Clinically assigned mild cases are patients with upper respiratory tract symptoms (and/or fever) without shortness of breath and having oxygen saturation at room air of more than 94 per cent are recommended for home isolation," the revised guidelines said.

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It said that a caregiver should be available to provide care on a 24x7 basis and a communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation.

Elderly patients aged more than 60 years and those with co-morbid conditions such as hypertension, diabetes, heart disease, chronic lung/liver/ kidney disease, cerebro-vascular disease shall only be allowed home isolation after proper evaluation by the treating medical officer. 
 
Talking about treatment protocols, the revised guideline said, "Patients must be in communication with a treating physician and promptly report in case of any deterioration. If fever is not controlled with a maximum dose of Tab. Paracetamol 650mg four times a day, consult the treating doctor who may consider advising other drugs like non-steroidal anti-inflammatory drugs (NSAID) (ex: Tab. Naproxen 250 mg twice a day)."

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It further stated that consider Tab Ivermectin (200 mcg/kg once a day, to be taken empty stomach) for 3 to 5 days. Inhalational Budesonide (given via inhalers with spacer at a dose of 800 mcg twice daily for 5 to 7 days) to be given if symptoms (fever and/or cough) are persistent beyond 5 days of disease onset. 
 
"The decision to administer Remdesivir or any other investigational therapy must be taken by a medical professional and administered only in a hospital setting. Do not attempt to procure or administer Remdesivir at home," it said. 
 
As per the guidelines,a patient under home isolation seeks immediate medical attention if serious signs or symptoms develop which could include difficulty in breathing, dip in oxygen saturation, persistent pain pressure in the chest and mental confusion or inability to arouse.

The Union Health Ministry has issued revised guidelines for home isolation for patients with mild or asymptomatic symptoms. The new revised guidelines said, "Patient under home isolation will stand discharged and end isolation after at least 10 days have passed from onset of symptoms (or from date of sampling for asymptomatic cases) and no fever for 3 days.

The Union Health Ministry has issued revised guidelines for home isolation for patients with mild or asymptomatic symptoms. The new revised guidelines said, "Patient under home isolation will stand discharged and end isolation after at least 10 days have passed from onset of symptoms (or from date of sampling for asymptomatic cases) and no fever for 3 days. There is no need for testing after the home isolation period is over." Also read | COVID-19 in India: Southern state of Kerala announces complete lockdown As per the revised guidelines, the patient should be clinically assigned a mild/asymptomatic case by the treating Medical Officer. "The asymptomatic cases are laboratory confirmed cases not experiencing any symptoms and having oxygen saturation at room air of more than 94 per cent. Clinically assigned mild cases are patients with upper respiratory tract symptoms (and/or fever) without shortness of breath and having oxygen saturation at room air of more than 94 per cent are recommended for home isolation," the revised guidelines said. Also read | COVID-19: India registers record 412,262 new cases, over 300,000 cases recover It said that a caregiver should be available to provide care on a 24x7 basis and a communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation. Elderly patients aged more than 60 years and those with co-morbid conditions such as hypertension, diabetes, heart disease, chronic lung/liver/ kidney disease, cerebro-vascular disease shall only be allowed home isolation after proper evaluation by the treating medical officer. Talking about treatment protocols, the revised guideline said, "Patients must be in communication with a treating physician and promptly report in case of any deterioration. If fever is not controlled with a maximum dose of Tab. Paracetamol 650mg four times a day, consult the treating doctor who may consider advising other drugs like non-steroidal anti-inflammatory drugs (NSAID) (ex: Tab. Naproxen 250 mg twice a day)." Also read | Indian Army establishes Covid hospital in Kashmir It further stated that consider Tab Ivermectin (200 mcg/kg once a day, to be taken empty stomach) for 3 to 5 days. Inhalational Budesonide (given via inhalers with spacer at a dose of 800 mcg twice daily for 5 to 7 days) to be given if symptoms (fever and/or cough) are persistent beyond 5 days of disease onset. "The decision to administer Remdesivir or any other investigational therapy must be taken by a medical professional and administered only in a hospital setting. Do not attempt to procure or administer Remdesivir at home," it said. As per the guidelines,a patient under home isolation seeks immediate medical attention if serious signs or symptoms develop which could include difficulty in breathing, dip in oxygen saturation, persistent pain pressure in the chest and mental confusion or inability to arouse.

No need for tests after 10 days of home isolation in mild cases: New guidelines

After State Disaster Management Authority (SDMA) meeting on Saturday, Delhi Deputy Chief Minister Manish Sisodia said that Lieutenant General Anil Baijal`s apprehensions regarding home-isolation for COVID-19 patients have been resolved, and the system will continue.

Taking to Twitter, Sisodia wrote in Hindi: "All the apprehensions of LG regarding home isolation were resolved in the SDMA meeting and now the system of home isolation will continue. We thank LG sir for this. Under the leadership of our Chief Minister Kejriwal Ji, the people of Delhi will not have any problem."

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"After stopping the home isolation, LG in his order yesterday also stated to stop the work of the company which was counseling the patients at home. Now this facility will continue till Monday and its other options will be discussed again on Monday with the preparations of the Health Department," he wrote in another tweet.

In another tweet, Sisodia stated, 100 per cent COVID beds shall be subsidized up to an upper limit of 60 per cent of total hospital capacity.

Delhi Lieutenant Governor Anil Baijal on Saturday rolled back his order on mandatory five-day institutional quarantine period for COVID-19 positive patients stating that only those patients need to undergo institutional quarantine who do not require hospitalisation and do not have adequate facilities for home isolation.

After State Disaster Management Authority (SDMA) meeting on Saturday, Delhi Deputy Chief Minister Manish Sisodia said that Lieutenant General Anil Baijal`s apprehensions regarding home-isolation for COVID-19 patients have been resolved, and the system will continue.

After State Disaster Management Authority (SDMA) meeting on Saturday, Delhi Deputy Chief Minister Manish Sisodia said that Lieutenant General Anil Baijal`s apprehensions regarding home-isolation for COVID-19 patients have been resolved, and the system will continue. Taking to Twitter, Sisodia wrote in Hindi: "All the apprehensions of LG regarding home isolation were resolved in the SDMA meeting and now the system of home isolation will continue. We thank LG sir for this. Under the leadership of our Chief Minister Kejriwal Ji, the people of Delhi will not have any problem." Also watch| Delhi: COVID-19 treatment charges in private hospitals capped by India's Home Affairs Ministry "After stopping the home isolation, LG in his order yesterday also stated to stop the work of the company which was counseling the patients at home. Now this facility will continue till Monday and its other options will be discussed again on Monday with the preparations of the Health Department," he wrote in another tweet. In another tweet, Sisodia stated, 100 per cent COVID beds shall be subsidized up to an upper limit of 60 per cent of total hospital capacity. Delhi Lieutenant Governor Anil Baijal on Saturday rolled back his order on mandatory five-day institutional quarantine period for COVID-19 positive patients stating that only those patients need to undergo institutional quarantine who do not require hospitalisation and do not have adequate facilities for home isolation.

LG's apprehensions resolved in SDMA meeting, home-isolation for COVID-19 patients to continue in Delhi

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