Covid-19: admission to nursing homes does not require testing if a user has completed isolation for 90 days | Coronavirus


The admission of users to nursing homes and other institutions does not require testing the covid-19 if it has fulfilled the criteria for ending isolation in the last 90 days, according to a guidance from the Directorate-General for Health.

The guidance issued by the DGS on Saturday establishes the procedures for Residential Structures for the Elderly, Integrated Continuing Care Units of the National Continuing Care Network and other responses dedicated to elderly people and institutions for the care of children and young people at risk during the “Mitigation Phase ”Of the covid-19 pandemic.

“Upon admission to any of the institutions provided for in this Guideline, residents / users who in the past 90 days met the criteria for ending isolation under DGS Standard 004/2020 do not need a negative test”, so they do not a new laboratory test for SARS-CoV-2 must be performed ”, states the document.

According to the 009A / 2020 standard, now updated and published in the site from DGS, the user is exempt from isolation, as well as independent residents who carry out activities outside the institution for periods of less than 24 hours, contrary to what was foreseen in the previous guidance.

The previous standard (009/2020 updated on 23 July) determined that the admission of new residents / users to the institution implied a laboratory test for SARS-CoV-2 negative.

He also stated that, in situations where residents left the institution, for less than 24 hours, to undergo treatments or because they needed medical assistance, the user should have an isolation period of not less than 14 days with daily monitoring of symptoms. .

The now updated standard states that in institutions for the care of children and young people in danger and homes for children and young people, the procedures for admitting new residents are adapted in a way “to safeguard the psychological well-being of children and young people”.

“Thus, the procedures for conducting laboratory tests for SARS-CoV-2 and for prophylactic isolation do not apply”.

“Without prejudice to the provisions of the previous points, the clinical evaluation must be guaranteed in the admission of new residents / users in these institutions for the early detection of any symptom or sign suggestive of covid-19”, stresses the DGS.

In these cases, the procedures for suspected cases of covid-19 already implemented in the institutions apply.

A DGS source explained to Lusa that this update is to make this guidance compatible with the 004/2020 standard, which establishes the procedures to be adopted when approaching patients with suspected or infected with the new coronavirus (SARS-CoV-2).

According to standard 004/2020, in the case of symptomatic patients with covid-19 with mild or moderate disease, the isolation ends after “10 days since the onset of symptoms”, as long as they are not using antipyretic drugs and have a “significant improvement in symptoms for three consecutive days, without the need for a covid-19 test.

For patients with covid-19 without any clinical manifestation of the disease at the time of the laboratory diagnosis and until the end of the clinical follow-up, the end of the isolation measures is determined 10 days after the test is carried out, indicates the same standard, stating that, for severe or critical cases, isolation may end after 20 days from the onset of symptoms, provided there is a significant improvement in symptoms and without the use of antipyretics for three consecutive days.

The isolation period for these patients ends without a covid-19 test.

The covid-19 pandemic has caused more than 1.3 million deaths worldwide since December last year, including 3,824 in Portugal.

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