MoHFW issues ‘Revised Discharge Policy for COVID-19 patients’


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.
  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 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 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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