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AIIMS Chief Randeep Guleria Warns Against Performing a CT Scan in Mild Covid Cases, Says It May Do More Harm Than Good | India News

NEW DELHI: The AIIMS chief warned Monday against rushing for a CT scan in mild Covid-19 cases, saying it has side effects and may end up doing more harm than good.
Emphasizing that there is no need for CT scans in mild cases of Covid, AIIMS Director Dr. Randeep Guleria at a press conference said that many people are opting for the test the moment they find out they are positive for Covid-19 and added that misuse of CT scans and biomarkers can cause harm.
“One CT scan is equivalent to 300 to 400 chest X-rays. According to the data, repeated CT scans in younger age groups increase the risk of cancer in adulthood. Being exposed to radiation over and over again can cause harm. No it makes sense to do a CT scan on mild Covid-19 if oxygen saturation is normal, “Guleria said.
Even in mild illnesses and according to one study, even in asymptomatic cases, a CT scan can show patches that disappear on their own without treatment, he said.
He advised that CT scans should be done in cases of moderate illness, when they are hospitalized. “And if there is any doubt, you should opt for a chest X-ray,” he said.
Guleria also said that several blood tests for biomarkers are also not necessary in mild illnesses or in home isolation if the oxygen saturation is good, the fever is not high and there are no other symptoms.
“As this will cause panic. These biomarkers are acute phase reactants and increase even when there is some normal injury and toothache, it does not show that the Covid-19 disease has worsened. This causes more harm. Reliance on these tests may lead to excessive treatment, “he said.
He said clinical management guidelines make it clear that people with mild illnesses do not need medication. Based on limited data, you can take ivermectin or hydroxychloroquine, but you don’t need to take too many medications, he recommended.
“Some patients take steroids in the early stage of the disease, which increases viral replication. Taking high doses of steroids in mild cases can lead to severe viral pneumonia. Steroids should be taken at a moderate stage and as recommended by doctors. “, He said.
Decreased oxygen saturation (below 93), excessive fatigue, or chest pain are warning signs that a patient in home isolation may need hospitalization. Therefore, these patients should be kept in contact with a doctor, and people in the high-risk group who have comorbidities should also take special care, he said.
Guleria also said that in moderate diseases there are three types of treatment: oxygen therapy, steroids and anticoagulants, which are effective and constitute the main treatment strategy.

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