What are the IDSA recommendations for prioritizing patients to be tested for coronavirus disease 2019 (COVID-19)?
According to IDSA guidelines, the prioritization of patients to be tested for COVID-19 is as follows. Tier 1: - Critically ill patients receiving ICU level care with unexplained viral pneumonia or respiratory failure, regardless of travel history or close contact with suspected or confirmed COVID-19 patients - Any person, including health care workers, with fever or signs/symptoms of a lower respiratory tract illness and close contact with a laboratory-confirmed COVID-19 patient within 14 days of symptom onset - Any person, including health care workers, with fever or signs/symptoms of a lower respiratory tract illness and a history of travel within 14 days of symptom onset to geographic regions where sustained community transmission has been identified - Individuals with fever or signs/symptoms of a lower respiratory tract illness who are also immunosuppressed (including patients with HIV), elderly, or have underlying chronic health conditions - Individuals with fever or signs/symptoms of a lower respiratory tract illness who are critical to pandemic response, including health care workers, public health officials and other essential leaders Tier 2: - Hospitalized (non-ICU) patients and long-term care residents with unexplained fever and signs/symptoms of a lower respiratory tract illness Tier 3: - Patients in outpatient settings who meet the criteria for influenza testing - pregnant women and symptomatic children