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The Health Department has changed the definition of crown patient health to discharge from the hospital. You do not have to wait for the results of laboratory tests. Janasbasthyabidera the hospital to comply with hygiene after leaving the subject became more important.
If the coronavirus had not been detected in two consecutive tests in the previous 24 hours, the patient would have been declared healthy and released from the hospital. That being said, there is no need for this test. After seeing the symptoms, the patient can be discharged as healthy. The additional Director General of the Department of Health, Professor Nasima Sultana, officially announced the new treatment protocol at the beginning of the regular newsletter on Friday. He said the Corona Technical Committee had fixed it.
In this sense, said the director of the Department of Health (hospitals and clinics). A letter signed by Aminul Hasan was sent to various departments, including the designated hospital for the coronation. The letter, signed on May 5, establishes five discharge criteria: discharge without paracetamol, significant improvement in cough or respiratory problems, and negative results from two consecutive RT-PCR tests at 24-hour intervals. However, if it is not possible to perform the test for any reason, the patient will be discharged for three consecutive days, that is, 72 hours, subject to compliance with the first two conditions. Additionally, the patient should be kept isolated for 14 days at home or in a government designated location and should be examined if possible.
Sources from the health department said it was not possible to double check all patients in the hospital as the number of identified patients increased. So the Health Department has taken a new path. In this case, they have asked for help from the guidelines of the US Centers for Disease Control and Prevention (CDC). USA About COVID-19. The CDC says the patient can be said to be healthy without seeing symptoms. Although the World Health Organization has not yet changed its position. They said the patient could be said to be healthy if the virus was not detected in the patient’s body in two tests at 24-hour intervals.
Previously, if the coronavirus was not detected in two tests within 24 hours, the patient was said to be healthy
Now seeing the signs of recovery
Professor MA Fayez, former director general of the health department and director of the Dhaka School of Medicine, said: “The patient must leave the hospital and go home and remain isolated for 14 days.” All isolation rules must be followed, including removing the mask.
Recovery rate increased
Yesterday, 191 people returned home from various government and private hospitals. So far, the total number of returnees is 2,101. The number of recoveries has suddenly increased since May 4. That day, the Health Department announced the recovery of 7 people. But from the time the first patient was admitted on March 6 to May 4, 18 people recovered in 56 days. In other words, the average number of recoveries per day was approximately three.
On April 20, a patient was admitted to the Mugda Medical College Hospital in the capital. Health workers at the government’s Institute of Pathology, Disease Control and Research (IEDCR) collected their samples on April 25 to find out if it was virus-free. The test results were not reported and the second sample was not taken within 24 hours. However, IEDCR took the second sample on May 1 and reported the results in the evening. But the patient knew that he would be considered healthy only if the test result was negative twice in 24 hours.
On May 2, the hospital authorities released the patient. Before discharge, doctors said two tests were not needed. He is being released as he has no fever for three days in a row. It was learned that the hospital authorities spoke with the patient and the patient’s relatives.
Mugda Medical College Hospital Senior Professor Golam Nabi The Prothom-alo“You can talk about recovery by looking at the symptoms, but you can’t talk about being virus-free without testing,” he said. So we will evaluate some patients, we have decided to do it. ”He said that many of the tenants will need a virus-free certificate. Also, it is necessary for many who are scared (stigmatized). Overall, 40 percent of patients will need a certificate, he said.
What was before, what is now
The first news of admission of patients to the hospital was received on March 8. Since then, the director of IEDCR, Professor Mirzadi Sebrina, has repeatedly said at a press conference that if a patient is to be considered healthy, the results of two tests must be negative within 24 hours.
Discharge criteria for a crown patient are described in the National Guidelines for Crown Treatment and Management. The guidelines, developed by the Department of Health’s Division of Disease Control, contain seven criteria for patient discharge. One of them is to do two tests in 24 hours.
This guide was originally created following the guidelines of the World Health Organization of March 13. The examination of a hospital patient was said to be based on the pathological situation in a country and the adequacy of resources. Before the patient is discharged from the hospital, two RT-PCR tests must be performed at 24-hour intervals. The patient can be excused only if the result of the two tests is negative. The World Health Organization did not back down from its position until yesterday.
Professor Ahmedul Kabir, member of the Technical Committee and Secretary General of the Bangladesh Society of Medicine. The Prothom-alo“We have now agreed to comply with the CDC guidelines in the United States,” K said, adding that on April 30, the CDC website published the revised guidelines.
What to do
Former Scientific Director of IEDCR Mushtaq Hossain The Prothom-aloWho said the government is using a definition of continuing to work. It is necessary to clarify that being discharged from the hospital by this definition does not mean that the person is not free of coronavirus. You have to accept the 14-day isolation issue.
Public health experts say the isolation may be your own home or a place designated by the government. Everyone should wear a mask in isolation.
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