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Considerations in Children and Adolescents Related to Coronavirus Disease 2019 (COVID-19)
Erin Y Chen1, Justin M Burton2, Alicia Johnston3
1Johns Hopkins School Medicine, 733 North Broadway, Baltimore, MD 21205, USA.
Insights
Pediatric post-acute sequelae of SARS-CoV-2 (PASC), or long COVID, impacts children's health variably. Early screening and multidisciplinary care, including lifestyle and rehabilitation, improve quality of life for affected children.
Area of Science:
- Pediatric Medicine
- Infectious Diseases
- Public Health
Background:
- Post-acute sequelae of SARS-CoV-2 (PASC), also known as long COVID, presents a complex multisystemic challenge in children.
- PASC affects physical, social, and mental health, with variable presentation, duration, and severity.
- Children can develop PASC even after mild or asymptomatic acute COVID-19 infections.
Purpose of the Study:
- To highlight the importance of screening for PASC in children with a history of SARS-CoV-2 infection.
- To emphasize the need for early detection and intervention strategies for pediatric PASC.
- To outline effective management approaches for pediatric PASC.
Main Methods:
- This study reviews current understanding and clinical approaches to pediatric PASC.
- It emphasizes a multifaceted treatment strategy.
- Utilization of multidisciplinary care is recommended.
Main Results:
- PASC requires careful screening for early identification in children with prior SARS-CoV-2 exposure.
- A comprehensive approach is necessary due to the multisystemic nature of the condition.
- Variable presentations necessitate individualized management plans.
Conclusions:
- Screening for pediatric PASC is crucial for timely diagnosis and intervention.
- Multifaceted treatment, including lifestyle interventions, physical rehabilitation, and mental health support, is essential.
- Multidisciplinary care significantly benefits the management and improves the quality of life for children with PASC.
Abstract:
Pediatric post-acute sequelae of SARS-CoV-2 (PASC) or "long COVID" are a complex multisystemic disease that affects children's physical, social, and mental health. PASC has a variable presentation, time course, and severity and can affect children even with mild or asymptomatic acute COVID-19 symptoms. Screening for PASC in children with a history of SARS-CoV-2 infection is important for early detection and intervention. A multifaceted treatment approach and utilization of multidisciplinary care, if available, are beneficial in managing the complexities of PASC. Lifestyle interventions, physical rehabilitation, and mental health management are important treatment approaches to improve pediatric PASC patients' quality of life.
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