Coronavirus Disease (COVID-19)
Discharging Patients

Discharging Patients

Precautions

  • LA County DPH recommends that patients can be taken off home isolation 10 days after the onset of symptoms plus 24 hours without fevers and fever reducing medicines for mild-moderate disease, and 20 days after the onset of symptoms plus 24 hours without fevers and fever reducing medicines for severe-critical disease.
  • Those who are severely immunocompromised should be on isolation for a minimum of 20 days, and duration of isolation should be discussed with ID consultation.
  • Similar to the general population, patients should be advised to continue masking when they are in public or coming to clinic. This is especially true if patients continue to have some respiratory symptoms including cough.
  • These recommendations are based on data that suggest that even though PCRs may be positive for a prolonged period of time (>30d), viable virus is generally not seen in the nasopharynx or throat after 8 days and that the period of infectivity is the greatest in the 2-3 days before or after symptom onset.

Congregate Settings

  • For patients who live in congregate settings including skilled nursing facilities, additional precautions are used. Patients should be kept on enhanced droplet isolation 20 days after the onset of symptoms plus 24 hours without fevers and fever reducing medicines.

  • Alternatively, patients may be able to be taken off isolation with 2 negative swabs separated 24 hours apart.

Please see isolation and quarantine guidelines: http://publichealth.lacounty.gov/acd/ncorona2019/isolationquarantine/

Plasma Donation

For plasma donation, please see this website