COVID-19: Negative results no long criteria for discharging patient- NCDC

A negative laboratory test result of COVID-19 patients is no longer required for such patients to be discharged, according to a Nigerian official.

The Director-General of the Nigeria Centre for Disease Control (NCDC), Chikwe Ihekweazu, made this public at the daily Presidential Task Force (PTF) on COVID-19 briefing on Thursday.

Ihekweazu said the new discharge criteria for COVID-19 Infection indicates that patients can be free 14 days after the initial positive result.

“There have been new science emerging about the duration of infectivity of individual patients. It led to the WHO issuing new clinical guidelines.

“Symptomatic patients would thereby be discharged 10 days after symptom onset, plus at least 3 days without symptoms. If your symptoms last for longer, we will wait for longer managing you supportively.

“If you are asymptomatic, you can be discharged 14 days after your first positive result. A negative laboratory test is no longer required to discharge a COVID-19 patient,” he said.

The NCDC boss said the new guideline is based on new information from Singapore “that RNA detected beyond 10 days is no longer infectious as no viable virus is grown by viral culture.”

At the first stage of the virus in Nigeria, the major requirement for discharging patients were testing negative to COVID-19 twice.

The NCDC boss later said the agency had switched to testing COVID-19 patients only once as against its earlier stance on double testing before discharge.

This, he said is to enable the decongestion of some isolation centres in the country.

Ihekweazu had earlier said Nigeria may consider discharging COVID-19 patients earlier than their required treatment and isolation time, even though they are still testing positive.

NCDC also said it was considering home treatment for patients also as a means of decongesting the treatment centres.

Ihekweazu said discharged patients are to continue self-isolating at home for seven (7) days after discharge.

“At that point, you really don’t need more clinical interventions, even at home; you just need time to recover.

“It is just like you recover from any other illness. You don’t need any special intervention once you have been discharged,” he said.