Interim Guidelines for the Prevention of Coronavirus Disease 2019 (COVID-19)

Prevention of Coronavirus Disease

Interim Guidelines for the Prevention of Coronavirus Disease 2019 (COVID-19) Transmission in Home and Residential Communities
(This guide describes home isolation assessments and provides information on precautionary measures for family members, close partners, and caregivers of non-medical institutions of symptomatic, laboratory-confirmed COVID-19 infected persons in a new section. )

This interim guide is based on currently known epidemiological studies of COVID-19 and the spread of other viral respiratory infections. The Centers for Disease Control and Prevention (CDC) will update this interim guide as needed and as more information becomes available.

Coronaviruses are a large group of viruses, some of which cause disease in humans, while others spread between animals, including camels, cats, and bats. In rare cases, animal coronaviruses can infect humans exposed to infected animals and then spread among humans, such as in Middle East respiratory syndrome coronavirus (MERS-CoV) and severe acute respiratory syndrome coronavirus The situation seen in the virus (severe acute respiratory syndrome coronavirus (SARS-CoV)) (English version) may also be the case with COVID-19. This interim guide will help prevent the virus from spreading to people in homes and other residential communities.Guidelines Prevention of Coronavirus Disease.

This interim guide applies to the following situations:

Patients who have been diagnosed or suspected of COVID-19 infection but do not need to be hospitalized and can be treated at home (including those undergoing examination) “Interim Guide”);
Patients who have been diagnosed with COVID-19 infection and have been hospitalized and subsequently discharged home after being determined to be stable (see Interim Guidelines for Home Care for New Coronavirus (COVID-19) Patients Without Hospitalization 2019);
Family members, close partners, and caregivers in non-medical settings of symptomatic, laboratory-confirmed patients with COVID-19 infection.
Back to home Precautions for

Patients who have been diagnosed or suspected of COVID-19 infection but do not need to be hospitalized (including those being examined) Patients who have been diagnosed with COVID-19 infection and have been hospitalized and are determined to be stable and discharged home

Your medical staff and public health staff will assess whether you can treat at home. If it is determined that you do not need to be hospitalized and can be isolated at home, you will be monitored by staff at your local or state health department. You should follow these precautions until your health care provider, local or state health department tells you that you can resume normal activities.

Except for medical treatment, please stay at home

In addition to seeing a doctor, you should restrict travel. Do not go to work, school or public places. Avoid public transportation, carpooling, or taxis.

Isolate yourself from other people and animals in the home

Patient: Whenever you are at home, you should stay in a specific room and be isolated from the rest of the family. Also, if possible, you should use a separate toilet.

Animals: Do not touch pets or other animals when you are sick. For more information, see COVID-19 and Animals.

Call before visiting

Before you make an appointment, call your medical staff and tell them that you have COVID-19 or a suspected infection. This will help clinic staff take steps to prevent others from becoming infected or exposed.

wear mask

Wear a mask when you approach other people (such as in the same room or in the same car) or pet, or before entering a clinic or hospital. If you cannot wear a mask for some reason, such as being unable to breathe, those who live with you should avoid living with you. Masks must be worn once they enter your room.

Covers coughs and sneezes

Cover your mouth and nose with a tissue when you cough or sneeze. Throw used paper towels in trash cans with plastic bags; wash hands immediately with soap and water for at least 20 seconds, or immediately disinfect hands with an alcohol-based hand sanitizer containing at least 60% to 95% alcohol and disinfect Apply the liquid to all hands and rub until the hands are dry. If your hands are dirty, wash with soap and water.

Clean your hands often

Wash your hands frequently with soap and water for at least 20 seconds, or disinfect your hands with an alcohol-based hand sanitizer containing 60% to 95% alcohol. If your hands are dirty, wash with soap and water. Avoid touching your eyes, nose, and mouth with your unwashed hands.

Avoid sharing personal items

You should not share dishes, drinking glasses, cups, cutlery, towels or bedding with other people or pets in the home. Once used, these items should be thoroughly washed with soap and water.

Clean all “high frequency contact” surfaces every day

High-frequency contact surfaces include counters, tabletops, door handles, toilet utensils, toilets, mobile phones, keyboards, tablets, and bedside tables. Also, clean any surfaces that may have blood, stool, or body fluids. Use household cleaning spray or wipes according to label instructions. The label contains instructions for the safe and effective use of cleaning products, including precautions you should take when using the product, such as wearing gloves, and ensuring good ventilation during use of the product.

Monitor your symptoms

If your condition worsens (such as difficulty breathing), seek medical attention immediately. Before seeing your doctor, call your medical staff and tell them that you have COVID-19 or are suspected of being infected. Wear a mask before entering the clinic or hospital. This will help clinic staff take steps to prevent other people in the clinic or waiting room from becoming infected or exposed. Ask your medical staff to call your local or state health department. People who have been monitored or provided self-monitoring should follow the instructions of the local health department or occupational health professional as appropriate.

If you have an emergency medical condition and need to call 911, please notify the dispatcher that you are infected or suspected of being infected with COVID-19. If possible, put on a mask before emergency medical services arrive.

Termination quarantine

Patients diagnosed with COVID-19 infection should continue to be quarantined at home until the risk of secondary transmission to others is considered to be reduced. Consult physicians, state and local health authorities on a case-by-case basis to make a decision to end family isolation measures.Guidelines Prevention of Coronavirus Disease.

Recommended precautions for family members, close partners, and caregivers in non-medical facilities1

Symptomatic, laboratory-confirmed patients with COVID-19 infection

or

Patient being examined

Family members, close partners, and caregivers in non-medical settings may be in close contact with 2 symptomatic, laboratory-confirmed patients with COVID-19 or patients undergoing examinations. Close contacts should monitor their health; if they develop symptoms suspected of COVID-19 (such as fever, cough, shortness of breath), call their medical staff immediately (see the United States for potential exposure to travel or community environments in 2019 Interim Guidelines for Personnel Risk Assessment and Public Health Management of the New Coronavirus (COVID-19) Guidelines Prevention of Coronavirus Disease.

Close contacts should also follow these recommendations:

Make sure you understand and can help patients follow medical staff’s medication and treatment instructions. You should help patients get basic home needs and support them in buying groceries, prescription drugs, and other personal needs.
Monitor patients for symptoms. If the patient is getting worse, call their medical staff and tell them that the patient has a laboratory-confirmed COVID-19. This will help medical staff’s clinics take steps to prevent other people in the clinic or waiting room from becoming infected. Ask the medical staff to call your local or state health department for additional guidance. If the patient has an emergency medical condition and you need to call 911, please notify the dispatcher that the patient is infected or suspected of being infected COVID-19
Family members should stay in other rooms or be isolated from patients as much as possible. Family members should use separate bedrooms and bathrooms, if available.

Non-essential guests are not allowed to come home.

Family members should take care of any pets in the home. Do not touch pets or other animals when you are sick. For more information, see 2019-nCoV and Animals.
Make sure the common spaces in your home are well ventilated, such as using air conditioners or opening windows if weather permits.
Clean your hands frequently. Wash your hands frequently with soap and water for at least 20 seconds, or use an alcohol-based hand sanitizer containing 60% to 95% alcohol. Spread the whole hand with the sanitizer and rub it until your hands are dry. If your hands are dirty, wash with soap and water.
Avoid touching your eyes, nose, and mouth with your unwashed hands.
If you are in the same room as the patient, you should all wear masks.
Wear disposable masks and gloves when you touch or come into contact with the patient’s blood, stool, or body fluids (such as saliva, sputum, nasal mucus, vomit, urine).Guidelines Prevention of Coronavirus Disease.

Dispose of disposable masks and gloves after use. Do not reuse.

When removing personal protective equipment, first remove and discard gloves. Then, immediately clean your hands with soap and water or alcohol-based hand sanitizer. Next, remove and discard the mask and immediately clean your hands again with soap and water or alcohol-based hand sanitizer.
Avoid sharing household items with patients. Do not share dishes, drinking glasses, cups, cutlery, towels, bedding or other items. After the patient has used these items, they should be thoroughly washed (see “Cleaning Your Clothes Thoroughly” below).
Clean all “high-frequency contact” surfaces, such as counters, tabletops, door handles, toilet fixtures, toilets, mobile phones, keyboards, tablets and bedside tables, daily. Also, clean any surfaces that may have blood, stool, or body fluids.
Use household cleaning spray or wipes according to label instructions. The label contains instructions for the safe and effective use of cleaning products, including precautions you should take when using the product, such as wearing gloves, and ensuring good ventilation during use of the product.
Wash clothing thoroughly.Guidelines Prevention of Coronavirus Disease.
Remove and wash clothing or bedding immediately with blood, feces or body fluids.
Wear disposable gloves when handling contaminated items and keep them away from your body. Immediately after removing gloves, clean your hands with soap and water or alcohol-based hand sanitizer.
Read and follow the instructions on the laundry or laundry labels and detergent labels. Normal washing powder should always be used according to the instructions of the washing machine and dried thoroughly at the maximum temperature recommended on the clothing label.
Put all used disposable gloves, masks, and other contaminated items in containers with plastic bags before putting them in other household waste. After handling these items, clean your hands immediately (with soap and water or alcohol-based hand sanitizer). If your hands are dirty, wash with soap and water.
Discuss any other issues with your state or local health department or medical staff
footnote
 Close contact is defined as—

Located within approximately 6 feet (2 meters) of COVID-19 patients for an extended period of time; close contact may occur while caring for, living with, visiting, or sharing a medical waiting area or room with a COVID-19 patient

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