The mistakes of Kovid 2021 are being repeated, unnecessary

“Most patients” who are asymptomatic or have mild symptoms will require little or no medication

Mumbai: 32 leading doctors from India and abroad have written a letter to the central as well as state governments and have warned about the use of “inappropriate” diagnostic methods and drugs to tackle the current wave of the coronavirus pandemic.

The “volatile use of drugs” could be harmful, as seen during the first two waves of the pandemic, he warned in the open letter.

“Despite the weight of the available evidence and the crushing death numbers of Delta Wave, we find the mistakes of the 2021 response during the clinical management of COVID-19 repeating in 2022. We urge you to intervene to prevent the use of inappropriate drugs and diagnostics for the clinical management of COVID-19,” the letter said.

It added that “most patients” who are asymptomatic or have mild symptoms will require little or no medication.

“The prescriptions we’ve reviewed over the past two weeks include several COVID-19 “kits” and cocktails,” the doctors said. Vitamin combinations, azithromycin, doxycycline, hydroxychloroquine, favipiravir and ivermectin, have been used to treat Covid-19. Prescribing is an irrational exercise.” ,

The letter said outbreaks of fungal infections such as mucormycosis in India and aspergillosis in Brazil were attributed to widespread misuse of inappropriate drugs.

It also said that most of the COVID-19 patients would not require any additional testing after the initial positive rapid antigen or PCR test, except in some cases, home monitoring of oxygen levels.

The Omicron version can also infect people who have previously contracted the infection or who have been vaccinated, but these patients will have a lower “mortality rate”, it said.

“However, CT scans and a battery of laboratory tests such as D-dimer and IL-6 are routinely being prescribed by physicians across the country in asymptomatic and mild cases, putting an undue financial burden on families,” the letter said. Is.”

Patients are being admitted to hospitals “without clinical justification”, which adds to such burden and leads to non-Covid patients not getting hospital beds in case of emergency, it warned .

The letter states that the government as well as medical associations should put an end to such practices.

Among those who signed the letter were Dr. Sanjay Nagral of Jaslok Hospital, Mumbai; Dr. Syriac AB Phillips, Liver Institute, Rajagiri Hospital, Kerala; Dr. Rajni Bhat, Bangalore; Dr Bharat Gopal, Delhi and Dr Richa Gupta, Christian Medical College, Vellore.

The group also included some Indian-origin doctors living in the US and Canada.

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