Discharge Policy for COVID19 patients: MoHFW Corona Case Discharge Policy

By | May 9, 2020

Discharge Policy for COVID19 patients: MoHFW Corona Case Discharge Policy:

Corona case discharge Policy

The Ministry of Health & Family Welfare (MoHFW) issues revised discharge policy for COVID19 patients.

Revised Discharge Policy for COVID-19:

 The 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 COVID Care 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/GuidelinesforHomeIsolationofverymildpresymptomaticCOVID19case s.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 14th day.

Discharge Policy for COVID19 patientsMoHFW Corona Discharge Policy

2. Moderate cases admitted to Dedicated COVID Health Centre (Oxygen beds)

  • 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 onset in case of:

  • Absence of fever without antipyretics
  • 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/GuidelinesforHomeIsolationofverymildpresymptomaticCOVID19case s.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 immuno compromised (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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