Govt issues fresh guidelines for discharge of coronavirus patients
Revised Discharge Policy for COVID-19The revised discharge policy is aligned with the guidelines on the 3 tier COVID facilities and the categorization of the patients based on clinical severity
(Available at: https://www.mohfw.gov.in/pdf/FinalGuidanceonMangaementofCovidcasesversion2.pdf)
1 .Mild/very mild/pre-symptomatic cases
Mild/very mild/pre-symptomatic cases admitted to a COVIDCare Facility will undergo regular temperature and pulse oximetry monitoring. The patient can be discharged after 10 days of symptom onset and no fever for 3 days. There will be no need for testing prior to discharge.
At the time of discharge,the patient will be advised to follow the home isolation for further 7 days as per guidelines available at(https://www.mohfw.gov.in/pdf/GuidelinesforHomeIsolationofverymildpresymptomaticCOVID19cases.pdf).
At any point of time, prior to discharge from CCC, if the oxygen saturation dips below 95%, patient is moved to Dedicated COVID Health Centre (DCHC).
After discharge from the facility, if he/she again develops symptoms of fever, cough or breathing difficulty he will contact the COVID Care Centre or State helpline or 1075. His/her health will again be followed up through tele-conference on 14thday.
2.Moderate cases admitted to Dedicated COVIDHealth Centre (Oxygen beds)
2.1.Patients whose symptoms resolve within 3 days and maintains saturation above 95% for the next 4 days
Cases clinically classified as “moderate cases”will undergo monitoring of body temperature and oxygen saturation. If the fever resolve within 3 days and the patient maintains saturation above 95% for the next 4 days(without oxygen support), such patient will be discharged after 10 days of symptom on set in case of:
Absence of fever without anti-pyretics
Resolution of breathlessness
No oxygen requirement
There will be no need for testing prior to discharge
At the time of discharge,the patient will be advised to follow the home isolation for 7 days as per guidelines available at https://www.mohfw.gov.in/pdf/
GuidelinesforHomeIsolationofverymildpresymptomaticCOVID19cases.pdf).
2.2.Patient on Oxygenation whose fever does not resolve
within 3 days and demand of oxygen therapy continues
Such patients will be discharged only after
resolution of clinical symptoms
ability to maintain oxygen saturation for 3 consecutive days
3.Severe Cases including immunocompromised (HIV patients, transplant recipients, malignancy)
Discharge criteria for severe cases will be based on
Clinical recovery
Patient tested negative once by RT-PCR (after resolution of symptoms)
(Available at: https://www.mohfw.gov.in/pdf/FinalGuidanceonMangaementofCovidcasesversion2.pdf)
1 .Mild/very mild/pre-symptomatic cases
Mild/very mild/pre-symptomatic cases admitted to a COVIDCare Facility will undergo regular temperature and pulse oximetry monitoring. The patient can be discharged after 10 days of symptom onset and no fever for 3 days. There will be no need for testing prior to discharge.
At the time of discharge,the patient will be advised to follow the home isolation for further 7 days as per guidelines available at(https://www.mohfw.gov.in/pdf/GuidelinesforHomeIsolationofverymildpresymptomaticCOVID19cases.pdf).
At any point of time, prior to discharge from CCC, if the oxygen saturation dips below 95%, patient is moved to Dedicated COVID Health Centre (DCHC).
After discharge from the facility, if he/she again develops symptoms of fever, cough or breathing difficulty he will contact the COVID Care Centre or State helpline or 1075. His/her health will again be followed up through tele-conference on 14thday.
2.Moderate cases admitted to Dedicated COVIDHealth Centre (Oxygen beds)
2.1.Patients whose symptoms resolve within 3 days and maintains saturation above 95% for the next 4 days
Cases clinically classified as “moderate cases”will undergo monitoring of body temperature and oxygen saturation. If the fever resolve within 3 days and the patient maintains saturation above 95% for the next 4 days(without oxygen support), such patient will be discharged after 10 days of symptom on set in case of:
Absence of fever without anti-pyretics
Resolution of breathlessness
No oxygen requirement
There will be no need for testing prior to discharge
At the time of discharge,the patient will be advised to follow the home isolation for 7 days as per guidelines available at https://www.mohfw.gov.in/pdf/
GuidelinesforHomeIsolationofverymildpresymptomaticCOVID19cases.pdf).
2.2.Patient on Oxygenation whose fever does not resolve
within 3 days and demand of oxygen therapy continues
Such patients will be discharged only after
resolution of clinical symptoms
ability to maintain oxygen saturation for 3 consecutive days
3.Severe Cases including immunocompromised (HIV patients, transplant recipients, malignancy)
Discharge criteria for severe cases will be based on
Clinical recovery
Patient tested negative once by RT-PCR (after resolution of symptoms)
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