id author title date pages extension mime words sentences flesch summary cache txt cord-333532-vrfduv5a Patel, Kishan Pravin COVID-19 Patients: Are Current Isolation Guidelines Effective Enough? 2020-05-11 .txt text/plain 862 49 48 We believe the current isolation guidelines need to be revisited and clinicians should counsel COVID-19 patients to practice contact precautions for longer durations given new evidence suggesting the possibility of a fecaloral route of transmission. Furthermore, a recent case reported an asymptomatic COVID-19 patient who retested positive for SARS-CoV-2 despite being discharged after two negative consecutive respiratory nucleic acid tests at least 24 hours apart, raising concern for inadequate discharge protocol. With consideration of its high virulence, high infectivity, and the concern for a fecal-oral route of transmission, we suggest modifying guidelines to extend isolation and/or contact precautions in the best interest of patients, healthcare workers, and the global community as a whole. Key words: COVID 19; SARS CoV-2; Gastrointestinal; Isolation; Fecal-oral; transmission; precautions ./cache/cord-333532-vrfduv5a.txt ./txt/cord-333532-vrfduv5a.txt