Advisory to Start Rapid Antibody Based Blood Test for COVID-19 (4 Apri 2020)

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Salient features :

This article focusses on :

  • Strategy for areas reporting clusters (containment zone) and in large migration gatherings/evacuees centres
  • General guidelines to be followed by the healthcare workers while doing rapid antibody tests

Detailed summary :

Strategy for areas reporting clusters (containment zone) and in large migration gatherings/evacuees centres

  • Cases of Influenza Like Illness (ILI) should be monitored in health facilities. 
  • Any surge in cases should be monitored and brought to the notice of Surveillance Officer/CMO for additional investigation.
  • All symptomatic ILI persons should be home quarantined for 14 days.
  • All symptomatic ILI individuals should be tested using rapid antibody tests.

Antibody test negative

    • confirm with real-time RT-PCR using throat/nasal swab.
    • RT-PCR negative: Likely non-COVID-19 ILI
    • RT-PCR positive: Confirmed COVID-19
    • If real-time RT-PCR not done, individual should be home quarantined and after 10 days antibody testing should be repeated.
    • Antibody test negative: Likely non-COVID-19 ILI.
    • Antibody test positive: there is possibility of recent infection quarantine for another 10 days.

Antibody test positive:  After clinical assessment, treatment in hospital or isolation should be followed as per protocol. Action should be initiated for contact tracing.

  • If symptoms worsen,the patient should be refered to designated COVID-19 hospitals.

General guidelines to be followed by the healrhcare workers while doing rapid antibody tests

  • Gloves, mask, and head covers should be used.
  • HCW’s collecting throat/nasal swab should follow standard national infection control guidelines.
  • The rapid antibody tests approved by US-FDA/CE-IVD or non-CE-IVD validated by ICMR-NIV with marketing approval by DCGI should be used.
  • Details of all test results should be uploaded in ICMR portal to ensure that all cases are monitored and necessary actions are initiated with respect to infectious disease management.

Reference Link : https://www.mohfw.gov.in/pdf/Advisory&StrategyforUseofRapidAntibodyBasedBloodTest.pdf

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