Kerala govt decides to discharge patients without insisting Negative antigen test

Kerala government has finally decided to discharge Covid-19 patients from hospitals without insisting that they test negative in a rapid antigen test.

Earlier, a patient could be discharged from hospital only after he tests negative in two consecutive RT-PCR tests between a fixed interval.

Faced with the prospect of hospitals getting choked with COVID patients, the government has now relented to revise the guidelines.

The new guidelines say that patients with mild and moderate COVID disease can be discharged to home isolation, if they have been symptomless for the past 72 hours, without an antigen test.

Moderate cases should be haemodynamically stable, should not require supplementary oxygen, and there should be no breathlessness or excessive fatigue.

These patients will continue to watch out for red flag signs while in home isolation and perform the six-minute walk test daily to pick up exertion desaturation signs (defined as fall in oxygen levels below 3% of the baseline after the six-minute test).

Public health experts point out that the total subsiding of clinical illness is usually taken as an indication that the virus is no longer active. The government’s decision to do away with the antigen test will thus help clinically stable patients to be released early, freeing up hospital beds faster.

However, they also point out that it makes no sense that in the case of patients who are seriously ill, the State is continuing to insist on a negative antigen test 14 days from symptom onset before discharge, even if they are clinically stable. If they are antigen positive on day 14, the test will be repeated every 48 hours, the guidelines say.