PRACTICE PEARLS

 

Fam Pract Manag. 2020 May-June;27(3):32.

CHECK FOR COVID-19 UPDATES ON HOME ISOLATION AND WORK NOTES

As the coronavirus pandemic continues, physicians may face questions from recovering COVID-19 patients about when they can leave isolation and return to daily activities.

As of May 3, the Centers for Disease Control and Prevention (CDC) guidance on this topic includes two options: one with testing and one without.

  • For patients with access to testing, the CDC recommends they remain in isolation until they have an improvement of respiratory symptoms (cough and shortness of breath), no fever (without fever-reducing medications), and two negative test results from consecutive nasopharyngeal swabs taken at least 24 hours apart. (This is contingent, of course, on the availability of testing in your area.) Patients who tested positive for COVID-19 but never showed symptoms should wait until it's been 10 days since their positive test result.

  • For patients without access to testing, the CDC recommends they stay in isolation until it's been at least 10 days since their symptoms appeared, and at least 72 hours since their fever resolved (without fever-reducing medications) and respiratory symptoms began to improve.

Some patients may request notes for their employer, either confirming they tested positive for COVID-19 or confirming they have been cleared to return to work. The CDC's guidance, as of April 15, is that employers should not require such documentation because health care providers may be extremely busy during this national public health emergency. A script containing this guidance that your staff can use to respond to patient calls and emails may be useful to lighten the workload.

CDC guidance on this and other topics continues to evolve, so it's a good idea to spend some time each day on the CDC website, as well as state and local health department websites checking

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Practice Pearls presents readers' advice on practice operations and patient care, along with tips drawn from the literature. Send us your best pearl (250 words of less), and you'll earn $50 if we publish it. We also welcome questions for our Q&A section. Send pearls, questions, and comments to fpmedit@aafp.org, or add your comments below.

 
 

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