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 isolate himself at home and self-monitor their health for further 7 days.

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.

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 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

  Patient tested negative once by RT-PCR (after resolution of symptoms)

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