COVID-19: investigation and initial clinical management of possible cases

COVID-19: investigation and initial clinical management of possible cases

Published 10 January 2020

Last updated 2 October 2020
+ show all updates

  1. Consolidated case definitions for inpatient and community settings into 1 list.

  2. Updated flowchart to reflect the extension of the self-isolation period from 7 to 10 days.

  3. Updated information in section 3, with regards to 14-day self-isolation for admitted patients and provision of written information on ongoing isolation when discharging patients.

  4. Updated flowchart.

  5. Updated information on case definition.

  6. Removed link to withdrawn primary care guidance from the flowchart.

  7. Removed guidance on Priorities for SARS-CoV-2 (COVID-19) testing.

  8. Updated information provided on local testing.

  9. Updated priorities for testing.

  10. Updated testing section.

  11. Added ‘Priorities for SARS-CoV-2 (COVID-19) testing’.

  12. Updated flowchart.

  13. Removed minimum dataset form. Added a note relating to testing inpatients.

  14. Revised case definitions.

  15. Removed flowchart.

  16. Updated clarification of case definition for ‘admission to hospital’ and ‘influenza like illness’.

  17. Revised case definitions and updated flowchart.

  18. Flow chart updated with MERS.


  19. Added consideration of MERS testing for relevant travellers.

  20. Updated specified countries and areas.

  21. Clarification of epidemiological criteria, and sampling and testing.

  22. Updated with new guidance on ‘results of testing’.

  23. Updated flow chart.

  24. Updated flowchart.

  25. Updated flowchart for management of suspected cases.

  26. Addition to case definition.

  27. In addition to China, specified countries are Hong Kong, Japan, Macau, Malaysia, Republic of Korea, Singapore, Taiwan, and Thailand. Flowchart also updated.

  28. Clarification of definition of mainland China.

  29. Updated definition of contact.

  30. Flowchart updated with ‘2019-nCoV’ terminology

  31. Updated ‘Results of testing’ section.

  32. Added ‘Minimum data set’ form.

  33. Updated terminology for novel coronavirus (2019-nCoV), and added flow chart.

  34. Update to case definitions and guidance for discharge.

  35. Updated advice and included link for who to call to request testing.

  36. Added information on management of confirmed cases in England.

  37. Updated with case definitions and guidance on sampling.

  38. First published.


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