The Ministry of Health and Family Welfare (MoHFW) has issued revised discharge policy for coronavirus infected patients.
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According to the new guidelines, the revised discharge policy is aligned with the guidelines on the 3 tier COVID facilities and the categorisation of the patients based on clinical severity.
Here is the revised guideline:
> For Mild/very mild/pre-symptomatic cases:
The patients admitted to a COVID-19 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 the discharge. At the time of discharge, the patient will be advised to follow home isolation for further 7 days.
At any point of time, prior to discharge from Covid-19 Care Centre (CCC), if the oxygen saturation dips below 95%, the patient is moved to a dedicated Covid-19 Health Centre (DCHC).
After discharge from the facility, if they again develop symptoms of fever, cough or breathing difficulty they will contact CCC or state helpline or 1075. The checkup will again be followed up through teleconference on the 14th day.
> For moderate cases admitted to dedicated COVID-19 Health Centre (Oxygen beds)
* Patients whose symptoms resolve within 3 days and maintain 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 gets fine 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 testing prior to discharge.
At the time of discharge, the patient will be advised to follow home isolation for further 7 days.
* Patients on oxygenation whose fever does not resolve within 3 days and the demand for oxygen therapy continues.
Such patients will be discharged only after the resolution of clinical symptoms and after they are able to maintain oxygen saturation for 3 consecutive days.
3. For severe cases including immunocompromised (HIV patients, transplant recipients, malignancy)
Discharge criteria for severe cases will be based on clinical recovery and patient tested negative once by RT-PCR (after the resolution of symptoms).
