DOH revises classification of patients for COVID-19

MANILA, Philippines – The Department of Health (DOH) has issued new guidelines in the classification of individuals for coronavirus disease 2019 (COVID-19) in the Philippines.
DOH revises classification of patients for COVID-19

"Mapapalitan na ang PUM (person under monitoring) at PUI (person under investigation) at gagamitin na ang SUSPECT, PROBABLE, at CONFIRMED," DOH shared on Facebook.

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"Ang bagong klasipikasyon ay naglalayon na magkaroon ng uniformed reporting upang mas maging tutok ang ating mga hakbang laban sa COVID-19," the advisory added.

Those previously identified as PUMs are now excluded in the new classification system.

DOH revises classification of patients for COVID-19


Under Administrative Order No. 2020-0013, the former PUI category is now divided into two: suspect and probable.

A patient will be classified as "suspect" if he/she has mild, severe or critical symptoms, who was not tested or awaiting test results.

1. Patient has the following symptoms:
  • Fever of at least 38 degrees C
  • Cough
  • Throat Pain

And either of the two:
  • Has travel history or lives in community with local COVID-19 transmission within 14 days since start of symptoms
  • Had close contact with a confirmed or probable COVID-19 case within 14 days since start of symptoms

2. Patient has the following symptoms:
  • Fever
  • Cough
  • Difficulty breathing

And is any of the following:
  • 60 years old and above
  • Has preexisting condition
  • Has sensitive pregnancy
  • A health worker

3. Patient experiences sudden onset of lung illness with severe symptoms of unknown origin and needs hospitalization

A patient will be classified as "probable" if he/she has mild, severe or critical symptoms, with inconclusive test results.
  • test was not done in an official laboratory with RT-PCR test (reverse transcription polymerase chain reaction, considered the “gold standard” in COVID-19 testing)
  • remains untested

Patients with positive results from official testing labs will be considered "confirmed" cases.

“The evidence of local and community transmission of COVID-19 necessitated a review on the assessment and classification of individuals with the aim of early detection and laboratory confirmation,” DOH said in the memorandum.

— The Summit Express



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