Prior to appropriate clinical considerations below, consider the following minimum criteria:
- 20 days after last positive test
- No current symptoms such as runny nose, sneezing, coughing, etc. (other than associated with longstanding allergies)
- 72 hours fever free without help from fever-reducing medications (actual guideline is 24-hours but err on the safe side)
Beyond the point of verifying that the person is no longer infectious, consider the following.
- For example, is the person still subjectively improving (in which case a shorter screen now followed by more detailed assessment later may be appropriate) or have they hit a plateau?
- Do they have residual conditions that are disruptive to the point it would interfere with reliable assessment?
- Are there practical considerations that need to be addressed currently, such as return to work or decisional capacity?
- In return to play situations, how important is RTP for this person?
- Are there significant behavioral health factors that need to be disentangled in order to determine the most appropriate course of treatment?
Neurosport NP 