Discharging Hospitalized Patients

CDC guidance for COVID-19 may be adapted by state and local health departments to respond to rapidly changing local circumstances.

Who this is for: Healthcare personnel managing patients with coronavirus disease 2019 (COVID-19).

What this is for: To help prevent the spread of the virus that causes COVID-19 in healthcare facilities.

How to use: Reference to guide healthcare regarding discontinuing transmission-based precautions and discharging hospitalized patients with COVID-19. Summary of Recent Changes

Guidance as of March 23, 2020

  • Clarified that patients with COVID-19 can be discharged from a healthcare facility whenever clinically indicated. Meeting criteria for discontinuation of Transmission-Based Precautions is not a prerequisite for discharge.
  • Updated guidance for a test-based strategy: The recommendation to collect both NP and OP swabs at each sampling has been changed so that only one swab, preferably an NP, is necessary at each sampling.
  • Added guidance for:
    • Discontinuation of transmission-based precautions without testing.
    • Discontinuation of empiric transmission-based precautions for patients suspected of having COVID-19.
    • When using a testing-based strategy for discontinuation of transmission-based precautions is preferred.

This guidance is based on available information about COVID-19 and subject to change as additional information becomes available.

For discontinuation of home isolation for COVID-19, see (Interim Guidance for Discontinuation of In-Home Isolation for Patients with COVID-19).

For return-to-work criteria for healthcare personnel with COVID-19, see (Interim Guidance for Discontinuation of In-Home Isolation for Patients with COVID-19).