Case Definition for suspected COVID-19 Case

Appendix 1 - Case Definition for suspected COVID-19 Case

Term

Symptoms

Clinical Assessment/diagnosis

Asymptomatic

Patient has a positive confirmed laboratory COVID 19 test with no symptoms.

Mild

Patients with uncomplicated upper respiratory tract viral infection, may have non-specific symptoms such as:

  • Fever < 38.5°C

  • Fatigue,

  • Cough (with or without sputum production)

  • Anorexia, malaise, muscle pain

  • Sore throat

  • Nasal congestion

  • Headache

  • Rarely, patients may also present with GI symptoms of diarrhea, nausea and vomiting

  • Stable

  • Oxygen saturation exceeds 93%Respiratory rate is less than 30

Moderate

Dyspnea and other non-specific symptoms:

  • Fever < 38.5°C

  • Fatigue,

  • Cough (with or without sputum production)

  • Anorexia, malaise, muscle pain

  • Sore throat

  • Nasal congestion

  • Headache

  • Rarely, patients may also present with GI symptoms of diarrhea, nausea and vomiting

  • Signs of Pneumonia, lower respiratory symptoms

Severe

  • Patient with pneumonia & respiratory distress

patient with any one of the following criteria:

  • Respiratory distress (RR>30/min, adults) (RR >40/min, child < 5 yr)

  • O sat < 93% at rest

  • PaO2/FiO2 <300 mmhg

  • Lung infiltrate > 50% of the lung fields in 24-48 hr

Critical

All mentioned above and complicated by:

  • Persistent pain or pressure in the chest

  • New confusion or inability to arouse

  • Bluish lips or face