Revised discharge policy for COVID-19 patients
TOPIC: General Studies 2
- Global Crisis – COVID-19
In News: The Union Health Ministry has revised discharge rules for patients suffering from coronavirus infection. The health ministry shared a three-tier discharge policy with guidelines and instructions to be followed before, during, and after the discharge of coronvirus patients.
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.
- At any point of time, prior to discharge from CCC, if the oxygen saturation dips below 95%, patient is to be 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.
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 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
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
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)
The death toll due to coronavirus rose to 1,981 and the number of cases climbed to 59,662 today, according to the Union health ministry.