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Network Criteria for Removing COVID-19 Patients from Isolation

Kettering Health Network is following guidance from the CDC and ODH regarding criteria for removing COVID-19 patients from isolation.  This non-test-based strategy is favored over repeat testing because PCR detection of SARS-CoV-2 RNA can persist long after the infectious period has ended. 

Symptom-Based Strategy for Discontinuing Transmission-Based Precautions 

Patients with mild-to-moderate illness who are not severely immunocompromised: 

  • At least 10 days have passed since symptoms first appeared and 
  • At least 24 hours have passed since last fever without the use of fever-reducing medications and 
  • Symptoms (e.g., cough, shortness of breath) have improved 

Note:  For patients who are not severely immunocompromised and who were asymptomatic throughout their infection, Transmission-Based Precautions may be discontinued when at least 10 days have passed since the date of their first positive viral diagnostic test. 

Patients with severe-to-critical illness or who are severely immunocompromised: 

  • At least 20 days have passed since symptoms first appeared and 
  • At least 24 hours have passed since last fever without the use of fever-reducing medications and 
  • Symptoms (e.g., cough, shortness of breath) have improved 

Note:  For severely immunocompromised patients who were asymptomatic throughout their infection, Transmission-Based Precautions may be discontinued when at least 20 days have passed since the date of their first positive viral diagnostic test. 

September 14, 2020