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No tests to be done for ‘probable cases’

28 Jul 2020

The Ministry of Health hospitals and primary healthcare centres have stopped testing people with COVID-19 symptoms and instead such persons are notified as ‘probable cases’. These patients will be advised immediate self-isolation at home for 10 days.  

Patients requiring admission to the hospital and admitted with clinical or radiological evidence of pneumonia or with severe acute respiratory infection (SARI) or one who develops SARI while in hospital will only be tested for COVID-19.   
MoH, in its ‘COVID-19 Infection Guideline-10 for Hospitals and Primary Health Care Centres’, has outlined the new measures.   

The guideline states that a patient will require a test if he/she ‘is admitted with clinical or radiological evidence of pneumonia, or admitted with severe acute respiratory infection (SARI) or one who develops SARI while in hospital. (This patient is) To be tested for COVID-19 and notified as a confirmed case through electronic notification (ARI / SARI) Notification Form.’ 

The MoH guidelines further state that patients not requiring admissions are those with acute or mild to moderate respiratory infections (sudden onset of at least one of the following: documented fever ≥38c, cough, shortness of breath). (These cases will) Not to be tested for COVID-19 and notified as aprobable case through electronic notification (ARI ).’ 

These patients will be advised a ‘stay at home’ strategy and ‘if clinically indicated for admission, they will be referred to a hospital for further evaluation and management’. 

The MoH ‘stay at home’ strategy includes immediate self-isolation at home for 10 days if one has acute respiratory symptoms (sudden onset of at least one of the following: documented fever ≥38c, cough, shortness of breath), follow up infection prevention precautions and public health measures, download Tarassud+ and activate self-assessment using medical scout programme and if symptoms worsens seek medical advice from nearest health care centre.

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