COVID-19. Medical discharge statement replaces negative test | Coronavirus



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The Director General of Health, Graça Freitas, explained, this Monday, at the press conference on the epidemiological situation in the country that the medical declaration of clinical discharge is enough for asymptomatic patients or with mild symptoms of covid-19 to return to the school. or to work.

Until now, the return of people who tested positive for covid-19 was only possible with a negative test, but with the update of the standard of the General Directorate of Health (DGS) that reduces the isolation period of these patients to 10 days . testing is no longer necessary.

According to the DGS standard published this Wednesday, the end of isolation measures, without the need to perform tests for the new coronavirus, of asymptomatic patients or with mild or moderate disease occurs after 10 days, provided that they do not have a fever and, in the cases with symptoms, he has not used antipyretics for three consecutive days and with “significant improvement”. After these ten days and with these conditions “it is considered that they are not infecting others.” “Clinical evolution is more relevant than laboratory evolution in determining whether an individual remains infected or not,” he explained.

Graça Freitas has been emphasizing that this reduced isolation period concerns only people who had a mild illness or even asymptomatic people who tested positive, differentiating isolation in quarantine (which refers to those who had risky contacts, but not They tested positive, period that stays 14 days).

The most recent data point to a reduction in the transmission capacity of the new coronavirus after a certain time in cases of mild or asymptomatic disease. “It was already known that this was probably due to viral particles that remained in his upper respiratory tract, but that these viral particles were not capable of infecting other people,” he explained, highlighting that this happens from the eighth to the tenth day. .

In this way, it will be the treating doctor who will issue the statement so that the patient can return to school or work, corresponding to the end of isolation. This already occurs with many other diseases, such as the flu, an example that Graça Freitas used at the press conference.

The DGS also highlights that in the case of healthcare professionals or close proximity care providers, patients who are going to be admitted to residences or continuous or palliative care units or patients who are going to be transferred in hospital units to non-dedicated areas , a negative test will always be necessary for the isolation to be considered complete.

The Director General of Health also said that these people, with high clinical conditions, will enter “for [o número dos] recovered ”by covid-19.

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