Health advises health workers who have not undergone the coronavirus test, but who have had symptoms for seven days, to join the work after that time if they do not have a fever, have not taken antipyretic drugs in three days, and no longer have symptoms respiratory.
That is one of the approaches made by the technicians of the Ministry of Health in the last “Guide to action against COVID-19 in health and socio-health professionals”, dated last March 31 and which has been approved by the presentation of Alerts and Preparation and Response Plans.
The technical document stresses the importance of maintaining the response capacity of the health system in the current scenario of “generalized sustained community transmission” to ensure the continuity of healthcare activity in the face of the increased flow of patients in hospitals.
To do this, health workers must correctly apply protective measures to any patient with respiratory symptoms in order to minimize risk exposures.
To that end, they recommend the Public Health services of the autonomous communities to urge their workers on the need to follow preventive regulations to reduce the risk of transmission.
And they propose a series of actions against detected cases of COVID-19 in healthcare professionals and risk exposures.
Health workers with mild symptoms should contact their occupational risk prevention service, and the worker classified as possible, probable or confirmed will have to leave work and remain isolated at home.
The strategy chosen for the discharge of the case and their return to work will vary depending on the evaluation made of each one and on whether or not microbiological diagnostic tests have been carried out.
The test should be done, according to experts, after seven days have elapsed since the onset of symptoms and whenever there is an absence of fever without the need for taking antipyretic drugs and improvement in respiratory symptoms in the last three days.
If the PCR is negative, the worker will be incorporated into his work with a surgical mask until completing fourteen days from the onset of symptoms, provided that his respiratory condition has been resolved and if he avoids contact with immunosuppressed patients during that time.
If the PCR is positive, you should continue the isolation until fourteen days and repeat the test at the end of that time. If this second test is negative, it will be incorporated into your activity and if it is positive, it will be repeated after 72 hours.
But what if a diagnostic test is not performed? Health advises the following: that the health worker join the work seven days after the onset of symptoms in the absence of fever and without the need to take antipyretic drugs in the last three days and provided that the respiratory symptoms have been resolved.
Of course, it will be incorporated into its activity with a surgical mask until completing fourteen days from the onset of symptoms, and also avoiding contact with immunosuppressed patients during this time.
The guide addresses another case, that of health care providers who have not been tested, who have a severe clinical picture and who require hospital admission, who may be discharged if their clinical situation allows it, even though their CRP remains positive.
However, for this, you must maintain home isolation with monitoring of your clinical situation at least fourteen days from hospital discharge, provided that your process has been resolved or until a negative laboratory result is obtained. The admitted cases that at discharge have a negative laboratory result may be incorporated into their work.