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Saturday, August 1, 2020

Nasal and Oral Decontamination procedure has capability to reduce nasal SARS-COV-2 viral load

Question: Do nasal application of Povidone Iodine helps in COVID 19 patients.

Answer: Yes, nasal application of Povidone Iodine provides good results, in COVID19 positive patients nasal viral load is drastically reduced.

This help is halting or hindering prognosis of SARS-COV-2 virus propagating towards lungs.

Point 1 describes nasal and buccal cavity decontamination procedure for Positive Patents and point 2 describes how to do nasal and buccal cavity decontamination procedure for people living with COVID19 patients.
Corona Virus Lodges itself in initial infection stage in Nasal and Oral Cavity

Nasal and Buccal Cavity decontamination Procedure for SARS-COV-2 infection as follows.

Nasal Decontamination: Two times a day for first 7 days and once in a day then after till 14th day.

Apply Povidone Iodine Cream 0.5% w/w and lay down looking up for 15 minutes allow cream melt down and pass through nasal cavity and spread inside it and allow to go down to throat.
This to do before 1 hour before going to sleep.
In afternoon after 2 hours after lunch.
(Available as Cipladine Cream, Betadine Cream, Wokadine Cream)

Buccal Cavity Decontamination, Gargles with Betadine Gargle (Contains Povidone iodine Liquid for gargle)
Gargle to do for four times a day, that include one which is required to be done 1 hour before going to sleep.

1) For Covid19 Patients.
Nasal decontamination procedure to follow for two times a day, for till first 7 days and then once a day till 14th day.
And stop on 15th day do retest of covid19 at 18th day.

Gargles to do four times a day till 14t day, and after retest for covid19 is confirms negative results it can be stopped.

What to do when one comes in contact with COVID19 patient?

2) For people living with Covid19 positive patients preventive measure.

For People Living with Covid19 Positive patients to follow Above procedure of nasal decontamination till the subject living with tests negative for once a day.
And then after Nasal decontamination procedure to follow every alternate day till 14th day once in a day preferably 1 hour before going to sleep.

Gargle with Betadine Gargle to do every day two times a day and must be done before going to sleep.

Precaution:
1)Do not apply Povidone Iodine cream 24 hours prior to test of COVID19. One must not apply Povidone Iodine cream inside nose for 24 hours before nasal swab for covid19 test is to be taken.

2)Thyroid Patients, do not use Povidone Iodine cream.
Instead of povidone Iodine cream use Silver Sulfadiazine or Silver Nitrate Cream for nasal decontamination.

References:
1) Ongoing Clinical Study : https://clinicaltrials.gov/ct2/show/NCT04364802

2) Utilizing topical applications of PVP-I to attenuate nosocomial transmission of COVID-19 surrounding head and neck and skull  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161480/

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