Coronavirus Disease 2019 - COVID 19
Categories based on symptomatology
Category A
Mild sore throat / cough / rhinitis /diarrhea
Category B
Fever and/or severe sore throat / cough /diarrhea
OR
Category-A with any one of
• Lung/ heart / liver/ kidney / neurological disease/ Hypertension
/ haematological disorders/ uncontrolled diabetes/ cancer /HIVAIDS/ Cardiovascular disease
• On long term steroids /immunosuppressive drugs.
• Pregnant lady
• Age –more than 60 years.
Category C
• Breathlessness, chest pain, drowsiness, fall in blood pressure,
haemoptysis, cyanosis [red flag signs]
• Children with ILI (influenza like illness) with red flag signs
(Somnolence, high/persistent fever, inability to feed well, convulsions,
dyspnoea /respiratory distress, etc).
• Worsening of underlying chronic conditions.
*Categorization should be reassessed every 24-48 hours for Category A & B
Clinical Severity Stages
Clinical Severity : Mild
Corresponding Category according to state guidelines : A,B
No breathlessness or Hypoxia
Clinical Severity : Moderate
Corresponding Category according to state guidelines : C
Adult: dyspnea and/ or hypoxia, fever, cough, SpO2≤94% (range 90-94%) on room air, Respiratory Rate ≥24 per minute. Child : dyspnea and or hypoxia, fever, cough, including SpO2 ≤94% (range 90-94%) on room air, Respiratory Rate ≥ 24 per minute. Fast breathing (in breaths/min): < 2 months: ≥ 60; 2–11 months: ≥ 50; 1–5 years: ≥ 40
Clinical Severity : Severe
Corresponding Category according to state guidelines : C
Adult: Pneumonia plus one of
‣ respiratory rate ≥30 breaths/min
‣ severe respiratory distress
‣ SpO2 ≤90% on room air.
Child : cough/dyspnoea, plus one of
‣ central cyanosis or SpO2 ≤90%;
‣ severe respiratory distress (e.g. grunting, chest indrawing);
‣ signs of pneumonia with danger signs: (inability to
breastfeed or drink, lethargy. unconsciousness, or
convulsions).
‣ Other signs of pneumonia like chest in drawing, fast
breathing (in breaths/min): <2 months ≥60; 2–11
months ≥50; 1–5 years ≥40.
Severity categories for treatment purpose
Clinical Severity : Mild
Respiratory Rate < 24/min, SpO2 > 94 on room air
Clinical Severity : Moderate
Respiratory rate between 24-29, SpO2 between 91-94 on room air
Clinical Severity : Severe
Respiratory Rate ≥ 30, SpO2 < 90
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