ICMR points advisory permitting ‘testing on demand’ for COVID-19


New Delhi, September 5

The Indian Council of Medical Research (ICMR) has issued an advisory on COVID-19 testing technique, permitting ‘testing on demand’ for people however left it to states to switch the strategy as per their discretion.

It additionally suggested testing on demand for “all individuals undertaking travel to countries or Indian states mandating a negative COVID-19 test at the point of entry”.

The ‘Advisory on Strategy for COVID-19 Testing in India’ (model VI), issued on Friday, stated the state governments may simplify the modalities to facilitate testing on demand.

It additionally recommended that 100 per cent of individuals dwelling in containment zones needs to be examined by fast antigen exams, significantly in cities the place there was a widespread transmission of the an infection.

The ICMR additionally harassed that no emergency process (together with deliveries) needs to be delayed for lack of exams and pregnant ladies shouldn’t be referred for a scarcity of testing facility.

Further, the prevailing suggestions associated to testing for COVID-19 have been prolonged, elaborated and divided into 4 components — routine surveillance in containment zones and screening at factors of entry, routine surveillance in non-containment areas, hospital settings and testing on demand — and selection of take a look at (RT-PCR, TrueNat or CBNAAT and fast antigen exams) so as of precedence has been listed.

Under the class of ‘routine surveillance in containment zones and screening at points of entry’, the advisory really useful testing of all asymptomatic high-risk people (folks above 65 and people with co-morbidities and so forth) within the containment zones.

Besides, it suggested testing all symptomatic (ILI signs) instances, together with healthcare and frontline staff. All asymptomatic direct and high-risk contacts (in household and office, folks aged 65 and above, those that are immunocompromised or have co-morbidities) of a laboratory-confirmed case are to be examined as soon as between day 5 and day 10 of coming into contact.

As far as the selection of the take a look at is anxious, fast antigen take a look at (RAT) is listed first adopted by RT-PCR or TrueNat or CBNAAT because the second choice.

“Ideally, it is suggested that 100 per cent people living in containment zones should be tested by RAT, particularly in cities where there has been a widespread transmission of infection,” the advisory stated.

Under the class of ‘routine surveillance in non-containment areas’, the advisory really useful testing all asymptomatic high-risk contacts (contacts in household and office, folks aged 65 and above, these with co-morbidities) with RAT being the primary alternative of take a look at so as of precedence.

Besides, it suggested testing all symptomatic (ILI signs) people with a historical past of worldwide journey up to now 14 days, all symptomatic (ILI signs) contacts of a laboratory-confirmed case, all symptomatic (ILI signs) healthcare and frontline staff concerned in containment and mitigation actions, and all symptomatic ILI instances amongst returnees and migrants inside seven days of sickness, with RT-PCR, TrueNat or CBNAAT being the primary alternative of take a look at so as of precedence.

Under the class ‘hospital settings’, the advisory really useful testing all sufferers of Severe Acute Respiratory Infection (SARI), all symptomatic (ILI signs) sufferers presenting in a healthcare setting, asymptomatic high-risk sufferers who’re hospitalised or looking for quick hospitalisation reminiscent of immunocompromised people, sufferers recognized with malignant ailments, transplant sufferers, sufferers with continual co-morbidities and folks aged 65 and above.

It additionally recommended testing for asymptomatic sufferers present process surgical and non-surgical invasive procedures (to not be examined greater than as soon as per week throughout hospital keep) and all pregnant ladies in or close to labour who’re hospitalised for supply.

The ICMR harassed that no emergency process (together with deliveries) needs to be delayed for lack of take a look at and pregnant ladies shouldn’t be referred for a scarcity of testing facility. It added that every one preparations needs to be made to gather and switch samples to testing amenities.

Mothers who take a look at constructive for COVID-19 needs to be suggested to put on a masks and undertake frequent handwashing whereas dealing with their child for 14 days. They also needs to be suggested on breast cleansing earlier than feeding the neonate.

These measures are more likely to cut back transmission of COVID-19 to their infants, the doc stated.

The advisory additionally really useful testing all symptomatic neonates presenting with acute respiratory or sepsis-like sickness and sufferers presenting with atypical manifestations reminiscent of stroke, encephalitis, pulmonary embolism, a number of organ dysfunction syndrome, progressive gastrointestinal signs, Kawasaki Disease (in paediatric age group) primarily based on the discretion of the treating doctor.

RT-PCR or TrueNat or CBNAAT needs to be the primary alternative for exams so as of precedence in hospital settings and RAT needs to be the second alternative.

The ICMR said {that a} single RT-PCR or TrueNat or CBNAAT or RAT constructive take a look at is to be thought of confirmatory, with none repeat testing and no re-testing is really useful previous to discharge from a COVID-19 facility after medical restoration, together with for switch from a COVID space or facility to a non-COVID space or facility.

If signs develop following a detrimental RAT take a look at, a repeat RAT or RT-PCR needs to be finished.

Home quarantine for 14 days is really useful for all people earlier than present process elective surgical procedure to minimise probabilities of an infection earlier than the process. PTI



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