Coronavirus-infected patients developing severe symptoms or having compromised immunity will have to test negative through RT-PCR test before being discharged by a hospital, the Union health ministry on Friday said in its revised discharge policy for Covid-19 cases.

Moderate cases of Covid-19 and pre-symptomatic, mild and very mild cases need not undergo tests before being discharged after resolution of symptoms.

According to the rules till now, a patient was considered fit to be discharged if he or she tested negative on Day 14 and then again in a span of 24 hours.

“The revised discharge policy is aligned with the guidelines on the three tier Covid-19 facilities and the categorisation of patients based on clinical severity,” the ministry said.

The discharge criteria for severe cases, including the immunocompromised like HIV patients, transplant recipients and those having malignancy will be based on clinical recovery and of patient tested negative once by RT-PCR (after resolution of symptoms), the revised policy stated.

Cases clinically classified as “moderate” will undergo monitoring of body temperature and oxygen saturation.

If fever resolves within three days and the patient maintains saturation above 95 per cent for the next four days (without oxygen support), such a patient will be discharged after 10 days of symptom onset in case of absence of fever without antipyretics, resolution of breathlessness and no oxygen requirement

“There will be no need for testing prior to discharge,” the ministry said.

At the time of discharge, the patient will be advised to follow home isolation for seven days per the guidelines.

A patient on oxygenation also falling under moderate category, whose fever does not resolve within three days and demand of oxygen therapy continues, will be discharged only after resolution of clinical symptoms and when they are able to maintain oxygen saturation for three consecutive days.

Mild, very mild and pre-symptomatic cases admitted to a Covid-19 care facility will undergo regular temperature and pulse oximetry monitoring.

“The patient can be discharged after 10 days of symptom onset and no fever for three days. There will be no need for testing prior to discharge,” the revised discharge policy stated.

At the time of discharge, the patient will be advised to follow home isolation for further seven days per the prescribed guidelines.

At any point of time, prior to discharge from a Covid-19 care centre, if oxygen saturation dips below 95 per cent, the patient will be moved to dedicated Covid-19 health centre.

After discharge from the facility, if he/she again develops symptoms of fever, cough or breathing difficulty, he will contact the Covid-19 care centre, state helpline or 1075.

His or her health will again be followed up through teleconference on Day 14, it said.