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
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 isolate himself at home and self-monitor their health for a further 7 days.
- At any point in time, prior to discharge from CCC, if the oxygen saturation dips below 95%, the 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 teleconference on the 14th day.
2. Moderate cases admitted to Dedicated COVID Health 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 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 isolate himself at home and self-monitor their health for a further 7 days.
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
- The patient tested negative once by RT-PCR (after the resolution of symptoms)
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