COVID-19 Treatment Guidance

Modified Date: 
August 5, 2024


Note: This is the Infectious Diseases Management Program COVID-19 site, which will house treatment related guidance going forward. For Hospital Epidemiology and Infection prevention's COVID-19 page, which houses guidelines around topics including disinfection, PPE, precautions, and other infection prevention related topics, please click here for Hospital Epidemiology and Infection Prevention's COVID-19 Page

  • For treatment of patients with COVID-19 please refer to the IDSA Guidelines (NIH COVID-19 Guidelines are no longer being updated). In particular, Table 37 highlights recommended therapies for different levels of severity
  • For guidance on pre-exposure prophylaxis (Pemivibart) for select populations refer to the attached document above
    • This guidance is also temporarily available here, will soon only be housed on this page
  • For information on eligibility and ordering of outpatient remdesivir refer to the above attached file

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 Remdesivir Ordering Guidance for Outpatient Adults

  1. Remdesivir is given at the MZ or MB Infusion Center, 7 days a week
    1. Not given at Parnassus Infusion Center
  2. Eligibility criteria: Patients must meet all of the below criteria:
    1. Symptomatic COVID-19 infection with symptom onset within 7 days
    2. High risk for progression to severe disease based on CDC risk factors https://www.cdc.gov/covid/risk-factors/
    3. Not eligible for nirmatrelvir-ritonavir (Paxlovid)
    4. Mild-moderate disease
      1. A provider visit is NOT included in the infusion visit.  If you would like your patient formally evaluated with exam, labs, x-ray, instead order REF778 or refer your patient to the SACC
  3. ​​For ordering guidance see above attached document