Covid-19 isolation: Understand the new recommendations and see what the experts are saying | Corona Virus

In this report, you will better understand what needs to be done according to the ministry’s new recommendation. the g 1 Also talk to experts to understand how they evaluate the new guidelines:

1. With symptoms appearing for 5 days
2. On the seventh day of symptoms
3. On the tenth day
4. Will I infect someone if I come out of isolation in less than 10 days?
5. Can I request a 10-day certificate?
6. What test do I need to do to get out of isolation?
7. What do I do if the test result is positive but I have no symptoms?
8. What do I do if I have symptoms but can’t get a test?
9. How long is the isolation period if I catch the flu?

1) 5 days of symptoms

• After five full days (ie the sixth day), if symptoms persist, she will remain in isolation.

If you feel your throat “scratch” on Monday, that’s day one. If symptoms persist, at the end of Friday – i.e. Saturday – keep solitude.

Most importantly, explains Alexander Zavasky, an infectious disease specialist and professor at the Federal University of Rio Grande do São.for (UFRGS) , It Wait until symptoms are gone before leaving isolation, no matter how many days have passed.

“Being symptom-free or in clear resolution of symptoms is the primary requirement. What happens is people fire themselves while they’re still symptomatic, and they feel bad – just because they’re at number 7 or number 5 or number 10. It’s not appropriate,” Confirms.

• After five full days (that is, the sixth day), if you have no symptoms, the recommendation is Take a test (antigen or PCR).
• see you here positiveYou will remain in isolation until day ten (Even if you don’t have symptoms.)
• see you here Negative, you can come out of solitude, as long as the past 24 hours (ie the day before) have passed without respiratory symptoms and/or fever (antipyretics is not worth using).

2) On the seventh day of symptoms

• If, on the seventh day, you are asymptomatic, you can come out of isolation, according to the new recommendation, and you do not need to be tested. but watch outOnly if you have had no respiratory symptoms or fever (without antipyretics) in the past 24 hours.

That is: if the first day of symptom onset is Monday, and on the following Sunday, you no longer have any symptoms, including fever, since the previous day, you can leave isolation (without testing).

• If symptoms persist on the seventh day, a test (polymerase chain reaction or antigen) is required. If the result is negative, You wait another 24 hours – without respiratory symptoms or fever – and leave isolation. If the result is positive, they remain in isolation until the tenth day..

I know, On the tenth day, you are free of symptoms, including fever, for at least 24 hours, can come out of isolation.

“If symptoms persist on the tenth day [dia], remains isolated until the fourteenth day. You need to assess the need to seek medical attention. Because if you have symptoms on the 10th day, it could be some complication,” recommends Bruno Ishigami, an infectious disease doctor at Oswaldo Cruz University Hospital, affiliated with the University of Pernambuco (UPE), and Clínica do Homem, in Recife.

4) I will injure someone if I get out of seclusion less than 10 days?

Can not say for sure.

“There is still no consensus in the scientific literature advocating reducing isolation to 7 or 5 days. If there is no consensus, I think this is risky and I see it could put us in a worse epidemic scenario,” evaluates Bruno Ishigami.

It is safest for him to wait 10 days in isolation to avoid transmitting the disease.

“So far, I haven’t seen any studies [dizendo] It’s easy to get out of isolation in 7 days. There are studies that show that from day 5 onwards, there is a decrease in viral load — which we associate with greater or less transmission potential — and from this decrease in viral load people decided to reduce it to 7 days in some circumstances and 5 days in others,” he explains.

“But from what I’ve read and what I’ve discussed with my other colleagues, 10 days will be the safest. In some cases, on the seventh day, some people won’t post, but there’s no way for us to personalize that point,” Ishigami says.

see how Incoherent asks a test to get out of isolation.

“I don’t see it making sense, for some reasons: Here in Brazil we don’t have a huge availability of tests. There are people who are not able to be tested even to make a diagnosis. So if we were to go to require testing people to leave isolation, that would be impractical and unrealistic with the reality of the country. “, According to him.

“We are blackouting the data from Ministry of HealthCases are increasing, hospitalization is increasing. If we are going to watch what happened in Europe and what is happening in the United States, it is time for us to be vigilant and increase restrictions, not to slacken and let the virus spread further,” defends Ishigami.

Alexander Zavasky, from UFRGSAnd The main thing is that the person does not have other symptoms.

“If you’re not really sure if your symptoms are better, you don’t have a thermometer, or you have to take antipyretic because you’ve had body pain, that is, you have symptoms, if in doubt, stay with the 10 days” , says the doctor.

In addition, the Use of masks and negative testing They are also necessary to create more barriers against transmission of the virus.

“This will really give you security, because you create three barriers: from the fifth day onwards it is no longer the majority that will eliminate the virus; it is not. Antigen-negative test: will there be a false negative result? ..but it will be the minority..barrier 2. And the third barrier is the mask. I don’t think we’d have problems if I did that,” he says.

“Now, the biggest challenge is getting people to comply with the first challenge. I think the big pressure from the people who hired them is to get their worker back to work – sometimes even with symptoms that are clearly not resolved,” he points out.

5) Can I request a 10-day certificate?

Yes — and doctors are authorized to grant longer leave if they feel it is necessary, according to Bruno Ishigami. This is true even if you don’t have the test result, only the diagnostic hypothesis.

6) What test do I need to do to get out of isolation?

recommendation Ministry of Health Is that, out of solitude, you have to do Antigen test or PCR.

Alexander Zavasky, from UFRGS, recommend antigen test To get out of isolation – because it tends to have more to do with whether or not a person transmits the virus.

PCR is useless to consider the issue of transmissibility. We have many cases that are PCR positive for several months. We see that the amount of RNA detected in the PCR decreases, but sometimes returns positive for several months. So it is not a good test to follow. And there are some studies that show that antigen, yes, is better associated with the issue of transmissibility,” he explains.

However, the test is not 100%. for this reason, It is important that symptoms do not appear when considering exiting isolation.

“I think it should be complementary to the absence of symptoms. A patient who is asymptomatic and still has a fever and has a negative antigen test on day five, that patient should not return. Because it is not the test that will determine the return: it is the symptoms.”

7) What should I do if the test result is positive but I have no symptoms?

Latest document from Ministry of Health It does not include guidelines for cases where the person has not had symptoms before.

previous document from infinite – affiliated with the ministry – issued in July 2021, recommended isolation for a period of ten days for cases in which a person takes the test without symptoms – for examination – and receives a positive result.

“If the person is asymptomatic and tests positive (either because they have been in contact or because they wanted to go on a trip), the recommended thing is to stay isolated for 10 days. Count the first day of isolation on the day the test was positive,” says Bruno. Ishigami.

8) What do I do if I have symptoms but can’t get to the test?

Given the high demand and low availability of tests, experts are recommending that people self-isolate if they develop flu-like symptoms.

“If a person has Flu syndrome symptoms And I can’t test herself, I’m advocating that she stay isolated for 10 days. Epidemiologically, there is a very high chance of contracting Covid, so maintaining this isolation for 10 days is the safest,” recommends Ishigami.

Influenza-like syndrome includes At least two of the following symptoms::

• Fever, even if referred – when a person measures it and tells a health professional, a value higher than 37.5°C
• goosebumps
• sore throat
• Headache
• cough
• common cold
• Taste or smell problems

9) How long is the isolation period if I catch the flu?