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Resolution of fever without the use of fever-reducing medications, and.HCP who are symptomatic could return to work after the following criteria are met: Use of a test-based strategy (as described below) and consultation with an infectious disease specialist or other expert and an occupational health specialist is recommended to determine when these HCP may return to work.HCP who are moderately to severely immunocompromisedmay produce replication-competent virus beyond 20 days after symptom onset or, for those who were asymptomatic throughout their infection, the date of their first positive viral test. For a summary of the literature, refer to Ending Isolation and Precautions for People with COVID-19: Interim Guidance (cdc.gov) Disease severity factors and the presence of immunocompromising conditions should be considered when determining the appropriate duration for specific HCP. The exact criteria that determine which HCP will shed replication-competent virus for longer periods are not known. The test-based strategy as described below for moderately to severely immunocompromised HCP can be used to inform the duration of work restriction.At least 10 days and up to 20 days have passed since symptoms first appeared, and.HCP with severe to critical illness who are not moderately to severely immunocompromised could return to work after the following criteria have been met: At least 7 days have passed since the date of their first positive viral test if a negative viral test* is obtained within 48 hours prior to returning to work (or 10 days if testing is not performed or if a positive test at day 5-7).HCP who were asymptomatic throughout their infection and are not moderately to severely immunocompromised could return to work after the following criteria have been met: If using an antigen test, HCP should have a negative test obtained on day 5 and again 48 hours later *Either a NAAT (molecular) or antigen test may be used. Symptoms (e.g., cough, shortness of breath) have improved.At least 24 hours have passed since last fever without the use of fever-reducing medications, and.At least 7 days have passed since symptoms first appeared if a negative viral test* is obtained within 48 hours prior to returning to work (or 10 days if testing is not performed or if a positive test at day 5-7), and.HCP with mild to moderate illness who are not moderately to severely immunocompromised could return to work after the following criteria have been met: If symptoms recur (e.g., rebound) these HCP should be restricted from work and follow recommended practices to prevent transmission to others (e.g., use of well-fitting source control) until they again meet the healthcare criteria below to return to work unless an alternative diagnosis is identified. After returning to work, HCP should self-monitor for symptoms and seek re-evaluation from occupational health if symptoms recur or worsen. The following are criteria to determine when HCP with SARS-CoV-2 infection could return to work and are influenced by severity of symptoms and presence of immunocompromising conditions.

Return to Work Criteria for HCP with SARS-CoV-2 Infection If using an antigen test, a negative result should be confirmed by either a negative NAAT (molecular) or second negative antigen test taken 48 hours after the first negative test.įor HCP who were initially suspected of having COVID-19 but, following evaluation, another diagnosis is suspected or confirmed, return-to-work decisions should be based on their other suspected or confirmed diagnoses.

If a higher level of clinical suspicion for SARS-CoV-2 infection exists, consider maintaining work restrictions and confirming with a second negative NAAT.