TESTING RECOMMENDATIONS: WHO TO TEST

  • Persons who are symptomatic, that is reporting a cough, breathing difficulties, or sore throat.  Fevers may or may not be present and are defined as a temperature of >100.3 degrees Fahrenheit.
  • Persons who meet CDC criteria for testing should be prioritized: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
  • Any symptomatic person, including health care workers, who has had close contact with a laboratory confirmed COVID-19 patient within 14 days of onset of symptoms, including cruise ship passengers/crew.
  • Any symptomatic person who has traveled to a geographic area with a CDC travel warning of at least level 3 within 14 days of symptom onset.  As of 3/8/20 that includes China, Iran, Italy, and South Korea.
  • Any person hospitalized with a lower respiratory tract infection where another etiology has not been identified.
  • Any symptomatic person where the diagnosis could have a significant impact on management of the patient
  • Examples include but are not limited to teachers, people working in a job with exposure to large numbers of the public e.g. restaurant servers, jobs in events with high attendance such as sports events, movie theaters, live events, workers at airports.
  • Residents of long-term care facilities e.g. SNF, board and care.
  • People in a high-risk group for severe disease e.g. the elderly (>65 years old), especially with underlying heart or lung disease, hypertension or diabetes.
  • For patients that meet CDC criteria, contact your local public health department to determine if they will perform COVID-19 testing.  If requested, send per the present public health process via Epic order set.
  • If public health declines to test, Quest test should be ordered as described in next section.