Revisit the hospital policy in the era of COVID-19




  1. Patient with recent history of dry cough, fever and breathlessness (influenza-like or severe acute respiratory illness) without alternative explanation/diagnosis needs to be managed as COVID-19 unless proved otherwise.
  2. Suspected COVID-19 patient having fever and recent loss of taste and smell be tested for COVID-19.
  3. Patient with severe acute respiratory illness of unknown aetiology be tested for COVID-19.
  4. Patient with bilateral consolidation on chest X-ray or ground glass appearance on chest CT or interstitial oedema on chest ultrasound (not fully explained by volume overload) be tested for COVID-19 in moderate to high risk communities/countries.
  5. Suspected COVID-19 patients with lymphopenia, high ESR or rise in C-reactive protein and suspected of viral fevers be tested for COVID-19.
  6. Screening of pregnant women for COVID-19 with rapid testing preferably with Elisa in moderate to high risk communities/countries.
  7. Screening with rapid testing preferably with Elisa prior to invasive interventions, including operations, in moderate to high risk communities/countries.
  8. Limit the exposure of hospital staff who are susceptible to develop severe complications of COVID-19.
  9. Hospitals provide PPE to staff depending upon exposure as per international/national/local guidelines.
  10. Hospitals implement infection prevention control measures meticulously in context of COVID-19.

Author Biographies

Rano Mal Piryani, Universal College of Medical Sciences

Professor, Internal Medicine and COordinator COVID-19 Task Committee
Universal College of Medical Sciences, Bhairahawa, Nepal

Suneel Piryani

Public Health Consultant, Karachi, Pakistan

Jay Narayan Shah, Patan Academy of Health Sciences, Lagankhel, Nepal

Professor, Department of Surgery
Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal






COVID-19: General Short Communication/ Perspective/ Viewpoint

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