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EODY issued new instructions for those patients who test positive for COVID-19, which refers to the time of isolation of the patient and his return to daily life.
Following a decision by the expert committee of the Ministry of Health, the protocols for the end of isolation, quarantine and return to work, which have already been implemented by EODY, were updated.
The new quarantine guidelines have been based on the recent guidelines of the European Center for Disease Control and Prevention – ECDC and are now incorporated into the measures of our country.
What is valid now
Based on the updated instructions that are now in force in our country, new criteria for the termination of quarantine and isolation of contacts and COVID-19 cases were defined.
As mentioned in the new protocols, important factors to consider when terminating COVID-19 cases are:
- the current state of the healthcare system,
- the possibility of conducting diagnostic laboratory tests and
- the current epidemiological situation at the local and national level
COVID-19 patients can be isolated based on criteria that take into account the following:
- clinical improvement of symptoms
- the time since the onset of symptoms
- The severity of the disease
- the patient’s immune status and
- the indication of elimination of the virus (viral RNA) from the secretions of the upper respiratory system.
Patients with mild symptoms
This concerns the majority of COVID19 cases, reported by EODY. In these cases, the main criterion for withdrawing isolation is complete remission of fever and improvement in clinical symptoms, mainly of the respiratory system. Completion of 10 days of isolation and 3 days of pyrexia and remission and other clinical symptoms other than fever greatly reduces the likelihood of transmitting the virus.
What about the heavier shapes?
A critically ill patient who must be discharged from the hospital before meeting the criteria for termination of isolation and without a negative laboratory test result (SARS-CoV-2 RT-PCR) should be isolated at home. or in a safe place for at least 14 days. up to 20 days from the onset of symptoms and based on a case-by-case risk assessment.
Regarding the return of a positive case to work, the presence of immunosuppression, the frequency of contact of the case with susceptible individuals with severe COVID-19 disease, as well as whether their work is associated with areas characterized by high risk of transmission and (for example, closed structures, units for the chronically ill, prisons or accommodation facilities for immigrants / refugees).
The asymptomatic
Asymptomatic individuals who have tested positive for SARS-CoV-2 should be isolated for 10 days from the date of sampling and laboratory diagnosis of the disease. Repeat laboratory tests with two consecutive negative virus molecular detection results (SARS-CoV-2 RT-PCR) are recommended, ideally within 24 hours, to eliminate isolation in immunosuppressed patients.
The second test is required as confirmation, to exclude the possibility of a false negative result. Similarly, two consecutive negative virus molecular screening tests (SARS-CoV-2 RT-PCR) can be considered to eliminate isolation from severely ill patients, especially if they need to be transferred to other units of the hospital or returned to chronic units. sick or in closed structures.
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