AIIMS issues COVID-19 document for healthcare workers

New Delhi: The All India Institute of Medical Science (AIIMS), Delhi has issued a preparedness document to address the cases of novel Coronavirus in the country.

The document called COVID-19 Preparedness Document', which was issued on March 27, is meant for circulation within the hospital. The document, however is dynamic and may be modified as per the progression of the disease in India and when more data was available regarding epidemiology, transmission, and treatment. The preparedness document is a comprehensive compilation of guidelines to provide the health workers information of various aspects of the disease and its Clinical management.

It deals with issues like Case definition, Clinical features, Laboratory diagnosis, Infection control measures, Clinical management and other matters like isolation, quarantine, etc.

According to the document, all symptomatic individuals, who have undertaken international travel in the last 14 days, all symptomatic contacts of laboratory confirmed cases, all symptomatic healthcare personnel, asymptomatic direct and high risk contacts of a confirmed case fall in the category of suspected novel coronavirus case and should be tested once between day 5 and day 14 after contact. While a person with laboratory confirmation of COVID-19 infection, irrespective of clinical signs and symptoms is considered as confirmed COVID-19 case.

The document showed clinical features of the disease that has been adopted from Report of the WHO-China Joint Mission on Coronavirus Disease 2019 based on 55,924 cases and a study on 1,099 cases by Guan in which symptoms like fever, dry cough, fatigue, sore throat, headache, shortness of breath, nausea or vomiting, nasal congestion, diarrhea and many others have been considered. The document stressed upon proper doffing of PPE material by the health care personnel. Doffing to be performed only in the designated area, check for any leak or soiling in PPE before doffing. If any, disinfect the area before doffing.

Doffing room should have two chairs, one labelled 'dirty' and the other 'clean'. All PPE must be discarded in the yellow bin. Hand hygiene must be performed after every step," said the document.