QUARANTINE AND

ISOLATION
PROTOCOLS
P R E S E N T E D B Y: R YA N PA U L PA S T O L E R O R N
ISOLATION AND QUARANTINE
Isolation
Separates sick people with
contagious disease from people
who are not sick
Quarantine
Separates and restricts the
movement of people who were
exposed to a contagious disease to
see if they become sick.
*these people may have been exposed
to a disease and do not know it, or they
may have the disease but do not show
symptoms.
COVID 19 CLASSIFICATIONS
CLASSIFICATIONS INDICATORS
No symptom but travels from or lives in areas with community
Asymptomatic patients
transmission

COVID-19 Contacts (suspected2 or

Close contacts 1 of confirmed, probable or suspected cases
confirmed)

Moderate COVID-19 (suspected2 or Symptoms present plus risk factors3 or signs of pneumonia4
confirmed)

Severe COVID-19 (suspected2 or Symptoms present plus signs of respiratory failure5

confirmed)

Critical COVID-19 (suspected2or

Symptoms present plus deteriorating vital signs6
confirmed)
 footnote
1
Close Contact - failed in two or more of the following exposures to a probable or confirmed case in the past 14
days: poorly ventilated indoor area, distance < 1 meter, unprotected/no PPE, exposure >15 mins. Examples: living
with or caring for a COVID-19 patient
 
2
COVID-19 Suspect - A person who meets the clinical AND epidemiological criteria:
Clinical Criteria (symptoms):
- Acute onset of fever AND cough; OR
- Acute onset of ANY THREE OR MORE of the following signs or symptoms: Fever, cough, general
weakness/fatigue, headache, myalgia, sore throat, coryza, dyspnea, anorexia/nausea/vomiting1, diarrhea, altered
mental status
 
3
Risk factors: age > 60 OR comorbid conditions like chronic lung disease, chronic heart disease, hypertension,
chronic kidney disease, chronic neurological conditions, diabetes, problems with the spleen, weakened immune
system such as HIV morbid obesity (BMI > 40)
 
4
Signs of pneumonia: difficulty of breathing, crackles on PE, Xray findings.
 
5
Respiratory failure: difficulty of breathing OR O2 saturation < 94 OR RR > 30
6
Hypotension, shock, diminished sensorium, ARDS, sepsis, or end organ failure
ISOLATION AND QUARANTINE
PROTOCOLS
Asymptomatic
• Can isolate at home or at LIGTAS COVID CENTER for 10 days
• Quarantine the entire household
• Ensure that contact tracing has been initiated thru BHERTS/
CESU/MESU
• Monitoring by Barangay Health Emergency Response Team
(BHERT)
COVID 19 Contacts
• Can isolate at home or LIGTAS COVID CENTER 14 days
• Quarantine the entire household
• Monitoring by Barangay Health Emergency Response
Team (BHERT)
Mild COVID 19
• Can isolate at home or LIGTAS COVID CENTER 14 days
• Quarantine the entire household
• Ensure that contact tracing has been initiated thru CESU/MESU
• Monitoring by Barangay Health Emergency Response Team
(BHERT)
• Wait for 10 days (Day 0: onset of symptoms) Wait for clinical
improvement and no antipyretic use for ≥24 hours?
Moderate COVID 19
• Isolate and facilitate testing. Inform close contacts.
• Ensure that contact tracing has been initiated thru CESU/MESU
• Recommend admit patient. b Inform and prepare patient for
transport
• May opt NOT to admit (e.g. during a surge) if no pneumonia
• Wait for 10 days since onset of symptoms Wait for clinical
improvement and no antipyretic use for ≥24 hours?
Severe COVID 19
• Stabilize patient (administering acute care)
• Refer to Pulmonologist and Infectious Disease Specialist
• Ensure that contact tracing has been initiated thru CESU/MESU
• Isolate and facilitate testing. Inform close contacts.
• Wait for 21 days since onset of symptoms Wait for clinical
improvement and no antipyretic use for ≥ 24 hours.
Critical COVID 19
• Stabilize patient and Prepare for transport if needed
• Refer to Pulmonary Specialist for Intensive care
• Given an Intensive Pulmonary Care Bundle
• Maintain isolation of symptomatic patient
• Ensure that contact tracing has been initiated thru CESU/MESU
• Wait for 21 days since onset of symptoms Wait for clinical
Improvement and no antipyretic use for ≥ 24 hours
 Inter-Agency Task Force for the Management of Emerging
Infectious Disease
Resolution No 136 (Sept 3, 2021)
Adoption of IATF for the classification of counties based on their incident rate.
CLASSIFICATION DEFINITION
GREEN LOW RISK

YELLOW MODERATE RISK (<100,000 n with 50-500 incident rate day)

RED HIGH RISK (>100,000 n with more than 500 incident rate day)
Inter-Agency Task Force for the Management of Emerging Infectious Disease
Resolution No 136

CLASSIFICATION Quarantine Protocol

GREEN Undergo 14 day quarantine and RT-PCR test

YELLOW Undergo 14 day quarantine and RT-PCR test

RED Undergo 14 day quarantine and RT-PCR test

*plus a 10 days quarantine in facility base provided by the
Bureau of Quarantine
References;

https://doh.gov.ph/sites/default/files/health-update/IATFResolution136.pdf

https://www.psmid.org/wp-content/uploads/2021/06/2021-06-21-COVID-19-Algo-ver-4.0-Full-1.pdf

https://doh.gov.ph/sites/default/files/health-update/dc2021-0122.pdf

https://www.psmid.org/unified-covid-19-algorithms-5