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Prevention of fungal infections, key area of ​​focus in the treatment of patients with Covid: Director of AIIMS | India News

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NEW DELHI: Training in rural areas, good infection control practices in hospitals and preventing yeast infections are the three areas of focus for the government in its treatment of those infected with coronavirus, the director of AIIMS said Saturday. , Randeep Guleria.
Amid reports about the spread of the coronavirus pandemic to rural areas, he said that Covid management should reach all parts of the country.
“Now it should reach all parties, especially rural areas. The Ministry of Health and AIIMS started a Covid management program in rural areas from April 30 to May 13 for national institutes of excellence at the regional level where we hold seminars. web on home isolation, medication for home isolation, ICU management, tests, diabetes management …
“These regional centers have to conduct more webinars themselves in their areas and train doctors, so that even in rural areas Covid management is ideal and of international standards,” Guleria said.
He also warned against the increase in the number of yeast infections that are being reported across the country and said it is of utmost importance that hospitals follow infection control practice protocols.
“Secondary infections, whether fungal or bacterial, have been seen to cause more mortality. This disease, mucormycosis, can affect the face, infect the nose, eye socket or brain, which can even cause loss of the vision. also spread to the lung, “Guleria said.
He also said that steroid misuse is one of the main causes of the spread of this infection.
“The chances of yeast infection are increased in diabetic, covid-positive and steroid-taking patients. To prevent it, we must stop the misuse of steroids,” he said.
According to Guleria, mucormycosis spores are found in soil, air, and even food, but they are low in virulence and generally do not cause infections.
“Even before Covid, this disease could be seen primarily in diabetic patients, transplant patients, and cancer, but it was rare among the general public. A large number of cases are now reported due to Covid treatment,” he said, and recommended close monitoring of blood sugar levels to prevent infection.
At AIIMS, he said 23 cases of such infection were reported among Covid patients. Of them, 20 are still positive for Covid-19 while the rest are negative. Guleria said that many states have reported more than 500 cases of mucormycosis.
He also advised against steroid use in the early stages of the coronavirus, saying that if the patient has mild symptoms, steroids would do more harm than good.
“The data shows that steroids are needed for 5 to 10 days for most Covid patients,” he said.
Niti Ayog member VK Paul also raised concerns about mucormycosis and asked people to monitor their diabetes, as the disease is seen to spread more widely among these patients.
“Manage your diabetes. Even when you have Covid, make sure you don’t forget to take your medications. Another aspect of this is using steroids wisely,” he said.
Paul said that while steroids are part of the treatment for Covid, it is important to prescribe them at the right time and in the correct dose, otherwise they could lead to secondary infections such as mucormycosis.
“Steroids should not be prescribed lightly … This disease must be prevented,” he said.
India recorded 3,26,098 more cases of Covid-19 that brought the total number of infections to 2,43,72,907, while 3,890 new deaths raised the number of deaths to 2,66,207, according to updated Union Health Ministry data Saturday morning.
Active cases have dropped to 36.73,802 and represent 15.07 percent of total infections, while the national recovery rate has improved to 83.83 percent, he said.

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