COVID-Recovered Determination
Browser notes: Best with Chrome, but works with FireFox and the most recent version of Edge. IE may work, depending on the version. If prompted by your browser, allow running scripts. (Uses JavaScript.)
Hovering the cursor over colored text will show definitions.

This calculator determines if hospitalized or ambulatory patients who had a positive test for SARS-CoV-2 can be considered COVID-Recovered according to the NYP algorithm using a symptom-based Strategy for all but the severely immunocompromised patients.

Advice from this calculator is not definitive. ALL hospitalized cases must be discussed with IP&C prior to discontinuing Transmission-Based Precautions (Isolation). See contact information below.

See Interim Guidance for Discontinuing Transmission-Based Precautions for Patients with Confirmed COVID-19 - December 16, 2021
https://infonet.nyp.org/EPI/Covid19Documents/Discontinuing_Home_Ambulatory_Isolation_COVID-19.pdf
Date of first positive SARS-CoV-2 PCR test:  
Is the patient moderately or severely immunoCOMPROMISED?    Yes    No
 

  Asymptomatic disease

 Mild-moderate illness

 Severe or critical illness
Are symptoms markedly improved?    Yes    No
Has patient been without fever for at least 24 hours without use of antipyretics?    Yes    No
Are there TWO consecutive negative nasopharyngeal
SARS-CoV-2 PCR Tests ≥ 24 hours apart? *		    Yes    No

Patients who meet any of the criteria outlined above are considered COVID-recovered for a period of 3 months following the initial positive COVID-19 diagnostic test.

Retesting for SARS-CoV-2 is not generally recommended for COVID-recovered patients EXCEPT for the following indications:

  • Patients being discharged to a nursing home without a previously documented negative test.
  • Testing should be performed in COVID-recovered patients who present with NEW symptoms consistent with COVID-19 that cannot be readily explained by an alternate diagnosis.
For the 3 month period that a patient is COVID-recovered, re-isolation is not required if they subsequently test positive (“re-positive”) EXCEPT in the setting of concern for re-infection defined as onset of NEW symptoms consistent with COVID-19 that cannot be explained by an alternate diagnosis.
Contact Infection Prevention & Control:
NYP-AH: 212-932-5219 NYP-CU/NYP-MSCH: 212-305-7025 NYP-WC: 212-746-1754
NYP-WBHC: 914-997-4377 NYP-LMH: 212-312-5976 NYP-LH: 914-787-3045
NYP-BMH: 718-780-3569 NYP-HVH: 914-734-3950 NYP-Q: 718-670-1255

References:

  1. Centers for Disease Prevention and Control. Duration of Isolation and Precautions for Adults with COVID-19 (decision memo). https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html.
  2. Centers for Disease Prevention and Control. Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance). https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.html#fn1.

NewYork-Presbyterian Hospital

Version: January 13, 2022

spon