COVID-19 Testing Criteria:
For COVID-19 testing, a patient must have a fever (>100.4F) and any of the following risk factors or conditions:
- International travel in the last 14 days before symptoms onset.
- Exposure to a confirmed or suspected COVID-19 individual in the last 14 days before symptoms onset.
- Shortness of breath.
- Dysgeusia (lack or alteration of taste).
- Anosmia (lack or alteration of smell).
- No alternate diagnosis to explain presentation of relevant symptoms.
If the patient has none of the above, COVID-19 testing is not recommended. If you still suspect COVID-19, please contact the advisory group for testing approval.
COVID-19 Retesting Criteria:
For COVID-19 retesting:
- If initial testing included both negative nasopharyngeal swab and sputum, then repeat testing is discouraged.
- If initial testing only consisted of nasopharyngeal swab and the patient has continued/progressive illness and is now able to produce sputum, then repeat testing with nasopharyngeal swab and sputum is suggested.
- Note: DO NOT induce sputum for testing. Only submit sputum if the patient is able to expectorate the sample.
COVID-19 Retesting for Patient Release and/or to Discharge Isolation
Review the following for a patient with confirmed positive COVID-19 testing and whose symptoms:
- Did not resolve:
- Do not retest patient for COVID-19.
- If patient is stable and should be discharged:
- Notify the health department.
- Then discharge the patient with instruction to self-quarantine until symptoms resolve.
- Instruct the patient to contact their local health department after symptoms resolve for further instructions.
- Collect two COVID-19 samples for testing, 24 hours apart.
- Follow COVID-19 discontinuation of isolation algorithm for guidance.
Note: The COVID-19 Lab Order is now updated to reflect testing criteria.