DURATION OF ISOLATION
The California Department of Public Health (CDPH) recommends a symptom-based strategy to determine the duration of isolation for people with COVID-19 who are symptomatic, meaning they have symptoms. Persons with COVID-19 who have symptoms and were instructed to care for themselves at home may discontinue isolation under the following conditions:
- At least 10 days have passed since symptom onset; AND
- At least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND
- Other symptoms have improved
ISOLATION AT HOME
The majority of people with COVID-19 have mild to moderate symptoms, do not require hospitalization, and can be isolated at home. However, the ability to prevent transmission in a residential setting is an important consideration. The federal Centers for Disease Control and Prevention (CDC) has guidance for both patients and their caregivers to help protect themselves and others in their home and community.
Considerations for the suitability of care at home include whether:
- The person is stable enough to be home.
- If needed, appropriate and competent caregivers are available at home.
- There is a separate bedroom where the person can recover without sharing immediate space with others.
- There is a separate bathroom or one that can be disinfected after use.
- Resources for access to food and other necessities are available.
- The person and other household members have access to appropriate, recommended personal protective equipment (PPE; at a minimum, gloves and facemask/cloth face covering) and can adhere to precautions recommended as part of home care or isolation (e.g., respiratory hygiene and cough etiquette, hand hygiene).
When to seek care:
If new symptoms develop or their symptoms worsen.
If the infected person is going to a medical office, emergency room, or urgent care center, the facility should be notified ahead of time that the person has COVID-19; the person should wear a facemask (or if unavailable, a cloth face covering) for the clinical visit.
Any one of the following emergency warning signs signal a need to call 911 and get medical attention immediately:
- Trouble breathing.
- Bluish lips or face.
- Persistent pain or pressure in the chest.
- New confusion or inability to arouse.
- New numbness or tingling in the extremities.
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