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[Recommendation for standardized medical care for children and adolescents with long COVID]

Nicole Töpfner1,2, , Martin Alberer1

  • 1Klinik und Poliklinik für Kinder- und Jugendmedizin, Klinikum Rechts der Isar (AöR) der Technischen Universität München und München Klinik gGmbH, München, Deutschland.

Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
|May 31, 2022
PubMed

Insights

This consensus paper offers expert recommendations for managing long COVID in children and adolescents, detailing clinical aspects and diagnostic tools. It provides screening questions and a multidisciplinary approach for pediatric long COVID care.

Area of Science:

  • Pediatric Medicine
  • Infectious Diseases
  • Public Health

Context:

  • Long COVID presents complex clinical challenges in children and adolescents.
  • Existing guidelines require supplementation with detailed pediatric-specific information.
  • Limited academic evidence necessitates expert consensus for clinical management.

Purpose:

  • To provide expert-based recommendations for the clinical management of long COVID in pediatric populations.
  • To complement existing AWMF S1 guidelines with a detailed overview of pediatric long COVID.
  • To offer structured diagnostic and therapeutic strategies for suspected cases.

Summary:

  • This paper details clinical aspects of long COVID in children and adolescents, offering expert recommendations from 19 pediatric societies.
  • It includes screening questions, standardized medical history, and diagnostic evaluation tools.
  • Specialized questionnaires for neurocognitive/psychiatric symptoms, including post-exertional malaise (PEM) and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), are provided.

Impact:

  • Facilitates standardized, evidence-informed clinical management of pediatric long COVID.
  • Supports timely diagnosis and appropriate multidisciplinary care for affected children and adolescents.
  • Aims to improve health outcomes and quality of life for young individuals with long COVID.

Keywords:
ChildrenConsensusGermanyLong COVIDSARS-CoV-2

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