COVID-19 Testing Priorities 3-22.20

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KDHE Updated Guidance on Testing for COVID-19

Effective March 23, 2020


Due to the widescale shortages of laboratory supplies and reagents, testing at the Kansas
Health and Environmental Laboratories must be prioritized for public health purposes and
urgent need. KDHE will be prioritizing specimens for COVID-19 testing, which will be reserved
for the following patients that meet Kansas’ patient under investigation (PUI) criteria starting
3/23/2020. It is important for health care facilities that are submitting specimens fill out the
approval form completely so that a determination of whether the patient meets the following
criteria can be made. All other specimens that don’t meet this criteria will not be tested.

• Healthcare workers and first responders who have COVID-19 symptoms,


• Potential clusters of unknown respiratory illness, with priority given to long-term care
facilities and healthcare facilities,
• Hospitalized patients with no alternative diagnosis,
• Individuals over the age of 60 who have symptoms of COVID-19 with priority given to
people who reside in a nursing home, long-term care facility, or other congregate setting,
and
• Individuals with underlying health conditions that would be treated differently if they were
infected with COVID-19.
For any specimens that were sent to KDHE prior to 3/23/2020, will still be tested. Moving
forward healthcare providers should:

• Send specimens to a commercial reference laboratory; determine the laboratory’s


specific priorities/restrictions for testing by calling the reference laboratory directly.
• Inform all patients who present with symptoms compatible with COVID-19 (e.g.,
measured fever of 100.4 (F) or greater and lower respiratory symptoms including cough
or shortness of breath) who are not a high priority for testing to:
o Self-isolate at home or another appropriate location for 7 days after illness onset
or for 72 hours after resolution of fever (without fever-reducing medication) and
significant improvement in symptoms, whichever is longer.

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