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Karnataka to adopt syndromic approach to expedite hospitalization using algorithm designed flow-chart

Nandita Vijay Bengaluru
Tuesday, May 4, 2021, 08:00 Hrs  [IST]

The Karnataka government is now facing a flood of Covid-19 false negative test reports and is forced to adopt a syndromic approach to facilitate hospitalization and stall the delayed admissions of cases.

Syndromic management involves clinical decision making based on a patient's symptoms and signs being manifested. Medical experts here along with their pathology counterparts use an algorithm designed flow-chart to make decisions about the disease management.

The move by the government comes in through a circular issued to adhere to a clinical protocol under syndrome approach to be complied strictly for all hospital admissions. This according to the state authorities will allow treating the cases bringing into consideration the symptoms manifested. Such a protocol according to the government experts would prevent further damage in the interest of public health.

Considering the increasing number of false negative reports being witnessed in both RT-PCR & RAT testing methods, it has been decided to follow a syndromic approach and issue patient numbers for hospitalization and treatment of such cases based on the authorization of doctors, Karnataka health and medical education minister Dr K Sudhakar tweeted while sharing the new government circular.

After the recent surge of cases in the second wave, several instances have been reported where the laboratory test for Covid-19 is found negative even while the patient has Covid-19 symptoms or CT scan has detected infection, he added.

Since the rules mandate that infected persons should have patient number issued by district authorities or BBMP (Bruhat Bengaluru Mahanagara Palike) to get admission in a hospital, several patients whose report is negative have been facing the issues to be hospitalized thereby deteriorating their condition.

Taking note of the issue, state government has now decided to follow syndromic approach and give patient numbers to such cases based on authorization of doctors. This will help Covid-19 infected persons to get timely admission and treatment, especially those who seek treatment in government hospitals and private hospitals through Suvarna Arogya Suraksha Trust (SAST) reference.

SAST is the special purpose vehicle created by the state government which now mandates that hospitals should mention SRF (Specimen Referral Form), BU (Bengaluru Urban) or district details number in the case sheets, lab reports and discharge summary.


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