在儿科患者中探索长期COVID:来自长期COVID诊所的临床见解
Dina Kamel1,2, My H Vu3, Jeffery Bender1,2
1Division of Infectious Diseases, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA, United States.
Frontiers in pediatrics
|October 31, 2025
概括
长期COVID在儿童中表现为持续的疲劳和头痛. 症状出现后接种疫苗可能会改善一些儿科患者的症状,但需要更多的研究.
科学领域:
- 儿童传染病 儿童传染病
- 青少年健康 青少年健康
- 纵向健康研究 纵向健康研究
背景情况:
- 长期COVID,定义为SARS-CoV-2感染后的持续症状,影响儿童和青少年.
- 对于儿科症状模式和疫苗接种对长期COVID的影响的了解有限.
- 这项研究解决了儿科长期COVID轨迹的知识差距.
研究的目的:
- 为了描述儿科长期COVID的症状模式.
- 研究疫苗接种对儿童和青少年疾病进展的影响.
- 评估疫苗在缓解长期COVID症状方面的有效性.
主要方法:
- 在专门的长期COVID诊所对123名0-21岁的患者进行了回顾性研究.
- 纳入标准:在SARS-CoV-2感染后4周以上持续或出现新症状.
- 收集关于症状持续时间,患病率和疫苗接种状态的数据.
主要成果:
- 在不同年龄组中,最常见的症状是疲劳 (93%) 和头痛 (70%).
- 女性患者报告脑雾,头,心跳和POTS的比率更高.
- 虽然基线疫苗接种没有改变最初的症状持续时间,但41%的接种后COVID疫苗的人报告了改善.
结论:
- 儿科长期COVID涉及长期的多系统症状.
- 接种疫苗可以为一些儿科患者提供主观的症状缓解.
- 进一步的前性研究对于澄清疫苗在儿科长期COVID管理中的作用至关重要.
相关概念视频
Pharmacokinetics in Pediatric Patients: Drug Excretion
201
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
201
Longitudinal Studies
468
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
468
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
239
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
239
Pharmacokinetics in Pediatric Patients: Drug Distribution
249
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
249
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K
Chronic Obstructive Pulmonary Disease-V: Management
3.1K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.1K


