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Pediatric long-COVID: An overlooked phenomenon?
Caroline L H Brackel1,2, Coen R Lap3, Emilie P Buddingh4
1Department of Pediatric Pulmonology, Emma Children's Hospital, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
Long-COVID affects Dutch children, presenting with fatigue, dyspnea, and concentration issues. Early detection and a multidisciplinary approach are crucial for managing this pediatric condition.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Long-COVID is a recognized multisystem disease in adults.
- Limited data exists on the long-term effects of COVID-19 in children.
- This study investigates the occurrence and characteristics of long-COVID in the Dutch pediatric population.
Purpose of the Study:
- To determine the prevalence and clinical features of long-COVID in children in the Netherlands.
- To raise awareness about pediatric long-COVID and its impact on daily functioning.
Main Methods:
- A national survey was distributed to Dutch pediatricians to gather data on suspected long-COVID cases in children.
- A case series of six children with long-COVID was analyzed to detail clinical manifestations.
Main Results:
- 89 children (aged 2-18) with suspected long-COVID were identified across 78% of Dutch pediatric departments.
- The most frequent symptoms included fatigue (87%), dyspnea (55%), and concentration difficulties (45%).
- 36% of affected children experienced severe limitations in daily functioning.
Conclusions:
- Long-COVID is a significant condition within the pediatric population, mirroring adult symptomology.
- The broad and nonspecific clinical presentation necessitates a multidisciplinary approach for effective diagnosis and management.
- International collaboration and consensus are vital for addressing pediatric long-COVID.
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