Vadodara municipal corporation (VMC) on 31st March, 2021 has officially released a protocol which clearly specifies the criteria under which a person can me admitted to the hospital. A person will be hospitalized only if he lies under all the criteria released my VMC.
This decision has been undertaken by following regulations:
1. The Epidemic Diseases Act, 1897.
2. The Gujarat Epidemic Diseases, COVID-19 Regulations, 2020 vide Notification No.GP/9/NCV/102020/SF-1/G dated 13th March 2020 issued by the Health and Family Welfare Department, Government of Gujarat.
3. Order No. NCV/102020/SF-01/G dated 23/03/2021 issued by Health and Family Welfare Department, Government of Gujarat.
Order Under The Epidemic Diseases Act, 1897
By virtue of power vested in me under section-2(ii) as 'Authorized Person' vide above said notification, and section 11 (vii) read with section l2, I hereby declare “The Protocol for Admission of COVID-19 Patients in Hospitals or under Home Isolation” in Vadodara Municipal Corporation and Vadodara District ” as per Annexure-1. VMC and District administration has reviewed the current criteria of admission, verified the same with various clinical experts and has decided to Notify the Protocol for Admission of COVID-19 Patients in hospitals or under home Isolation. The Hospitals designated for treatment of COVID-19 from time to time by VMC will be authorized to follow the above protocol notified herein. This will help reduce the bed occupancy and reduce the out of pocket expenditure of citizens. The protocol will be reviewed with progression of disease and be modified depending on the case
treatment and management reviews. Medical Officer of Health in VMC area and Chief District Health Officer in Vadodara District will arrange for a review of the Admission Protocol in Annexure-1 on a periodic basis.
This order will be effective from 1st of April 2021 and till further notice by the undersigned.
Any Medical Professional / Hospital / Organization in Vadodara, following the above Admission Protocol will be deemed to have carried out the treatment in good faith and shall stand protected under the Epidemic Diseases Act, 1897 vide Notification No.GP/9/NCV/102020/SF-1/G dated 13th March 2020 and Notification No. GP/9/NCV/102020/SF-01/G dated 23rd March 2021 issued by the Health and Family
Welfare Department, Government of Gujarat.
It is authorized and duly approved by Dr. Vinod Rao (Secretary, Primary and Secondary Education and OSD for COVID19, Vadodara).
ANNEXURE 1: PROTOCOL FOR ADMISSION OF COVID-19 PATIENTS
CRITERIA FOR HOSPITAL ADMISSION
AGE CRITERIA:
1. Age more than Sixty (> 60) years.
2. Age less than Sixty (< 60) years with comorbidity.
a. Diabetes b. Ischemic Heart diseases
c. Morbid Obesity d. Asthma
e. Renal or Liver Failure f. Hypertension
g. Immunocompromised states like HIV/AIDS; Patient on steroids, malignancies.
CLINICAL CRITERIA:
1. SpO2 (Oxygen Saturation) – Less than (<) 94%
a. Moderate disease – SpO2 88 % to 94 %
b. Severe Disease – Less than or = ( 88 %)
2. Breathlessness
3. Continuous Fever for > 3 days
4. Respiratory Rate – More than 20 per minute
5. Hypotension - SYSTOLIC Blood Pressure: <100 mm Hg
6. Tachycardia – Resting Heart Rate > 100
7. Bradycardia – Resting Heart Rate <50
8. 6 minute walk test induced desaturation (SpO2 < 94%)
LABORATORY CRITERIA:
1. Neutrophil : Lymphocytes Ratio - More than 3.5
2. ABG: PaO2/FiO2 Ratio (P: F): < 300
3. C-Reactive Protein (CRP): More than (>) 25
4. D-Dimer: More than (>) 1000
5. Serum Ferritin: More than (>) 500
RADIOLOGY CRITERIA:
1. X-Ray Chest / HRCT Chest – More than (>) 20% Lung Parenchyma Involved
2. HRCT Chest – CORADS (CT) Score of More than (>) 10/25.
TREATMENT OF PATIENTS IN HOSPITAL
1. Injection Remdesivira. 100 gm IV in pint stat and after 12 hours on day 1 (Two doses on day 1)
b. 100 gm IV O.D. for 4 days
2. Injection Dexamethasone 6mg/8mg IV O.D. for 5 days
3. Injection Cefoperazone + Salbactum IV 12 hourly OR
4. Injection Piperacillin + Tazobactum IV 6 hourly OR
5. Injection Meropenem IV 8 hourly
6. Injection Targocid
7. Injection Tocilizumab IV in pint if oxygen requirement Increases Suddenly
8. Injection Clexane IV OD, Pantocid IV OD
9. Tab. Vitamin C, Zinc, Ivermectin, Torvasan, Mucomix, Sorbex, Montelukast
10. Oxygen Therapy as per requirement; BiPAP/Invasive Ventilator as per requirement
NOTE:
1. The Drugs mentioned here are suggestive, Physician/Consultant/Specialist can
provide treatment as per clinical condition of the patient.
2. Injectable Drugs may be given post discharge at home under supervision and
consultation of Physician/Consultant/Specialist of the Designated Hospital.
CRITERIA FOR HOME ISOLATION
AGE CRITERIA:
1. Age less than Sixty (< 60 ) years without Co-morbidity
CLINICAL CRITERIA:
1. SpO2 (Oxygen Saturation) – More than (>) 94%
2. Mild Symptomatic
a. Mild Fever for less than 3 days
b. URTI (Upper Respiratory Tract Infection)
LABORATORY CRITERIA:
1. C-Reactive Protein (CRP): Less than (<) 25
2. D-Dimer: Less than (<) 1000
3. Serum Ferritin: Less than (<) 500
RADIOLOGY CRITERIA:
1. X-Ray Chest / HRCT Chest – Less than (<) 20% Lung Parenchyma Involved
2. HRCT Chest – CORADS (CT) Score of Less than (<) 10/25.
TREATMENT OF PATIENTS UNDER HOME ISOLATION
1. Tablet Hydroxychloroquine
a. 400 mg b.d. on day 1
b. 200 mg b.d. for 4 days
2. Tablet Doxycycline (100 mg) 1 b.d for 5 days
3. Tablet Dexamethasone (6mg / 8 mg) 1 o.d. for 5 days (In NON-DIABETIC Patients)
4. Tablet Ivermectin (12 mg) 1 o.d. for 3 days
5. Tablet Zinc (50 mcg) 1 o.d. for 5 days
6. Tablet Ecosprin (150 mg) 1 o.d. for 5 days
7. Tablet Vitamin C 1 b.d. for 10 days
8. Tablet Vitamin D3 (60,000 units) 1 o.d. for 3 days
9. Tablet Multivitamin 1 o.d. for 10 days
10. Tablet Mucinac (600 mg) 1 t.d.s. for 5 days
11. Tablet Montelukast (10 mg)1 t.d.s. for 10 days
12. Tablet Omeprazole or Rabeprazole for 5 days
NOTE:
1. All the hospitals/consultants will adhere to the admission criteria and clinical
protocols defined herewith.
2. Any person / Institution / organization found violating any provision of these
regulations shall be deemed to have committed punishable offence under section
188 of Indian Penal Code (45 of 1860)
GUIDELINES FOR HOME BASED COVID CARE
1. All Hospitals will provide list with contact number of patients who are home-isolated to Medical Officer of their respective Urban Primary Health Centre (UPHC) (or UPHC of the area where the patient resides). Contact details of the Medical Officers are as per Annexure 2.
2. Patient will be followed up by our team of “SANJEEVANI ABHIYAAN” at their home on a
daily basis as per protocol and treated.
3. Patient will have the option of getting teleconsultation from the Hospital or any other Consultant as per slot available on the ‘TELE-CONSULTING’ Application.
1. Teleconsultation can be availed through http://onelink.to/m6863f (for patients)
2. Teleconsultation can be provided through http://onelink.to/wdf7vj (for doctors)
ANNEXURE 2: CONTACT DETAILS OF MEDICAL OFFICERS OF UPHCs
East zone
1. BAPOD : Dr Bhavna Parmar 9909519649, Dr Roma Shah 9909927416, Dr. Santosh Machhi (PHM) 9979896869
2 PANIGATE : Dr Ekta Shah 9909927430
3 KISHANWADI : Dr Ashish Gamit 9909915368
4 RAMDEVNAGAR : Dr. Manisha Rathva 9714417967
5 SAWAD : Dr. Parthiv Shah 9909927425
6 SUDAMAPURI : Dr Abhisek Charel 9979773186
7 WARASIYA : Dr. Nilamben Patel 9429230675
WEST
8 DIWALIPURA : Dr Aadityendra Arya 9099925730, Dr. Sejal Soni 9909927418, Dr. Mohsin Jujara (PHM) 7990387171
9 ATLADRA: Dr Jayshree Khubchandani 9909927417
10 TANDALJA : Dr Parul Tank 9909927426
11 JETALPUR : Dr. Shashank Suthar 7600994868
12 AKOTA : Dr.Kamaxi Jonwal 8849492558
13 SUBHANPURA : Dr Namrata Chauhan 9824021956
14 GORWA : Dr. Pujan Joshi 9328603323
15 GOTRI : Dr Dipak Solanki 8238018689
16 GOKULNAGAR : Dr. Akshay Patel 9638150978
NORTH
17 EKTANAGAR : Dr. Parth Joshi 9426747669
Dr. Smita Vasava 9825503817, Dr. Arvind Paraskar (PHM) 8238018706
18 NAVAYARD : Dr Nital Thakkar 9909927436
19 NAVIDHARTI : Dr Jyoti Gamit 7874388875
20 KARELIBAGH : Dr. Hetal Patel 9712285880
21 CHHANI : Dr Sakshi Kulkarni 9909927431
22 SIYABAGH : Dr Abhisek Rathod 9924038613
23 NAVAPURA : Dr. Purvika Patel 9979105450
24 SAMA : Dr. Puja Kharvad 7016450093
25 FATEPURA : Dr. Nirmal Gohil 9909927429
SOUTH
26 YAMUNAMILL : Dr. Vallari Parmar 7984646307, Dr Seema Tripathi 9825076369, Dr. Pinal Shah (PHM) 8238018683
27 GAJRAWADI : Dr. Dipen Chaudhari 8306710320
28 KAPURAI : Dr Prakash Prajapati 9909911719
29 DANTESWAR : Dr. Vyoma Rana 8460419520
30 TARSALI : Dr Mausami Kothari 9825856172
31 MANEJA : Dr. Sadiya Mansuri 9726587277
32 MAKARPURA : Dr Chetna Patel 9909927415
33 MANJALPUR : Dr Hiren chaudhari 9909927428
34 VADSAR Dr. Ronak M. Patel 9099025418
Images of official documents are attached below for your reference.
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