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“长新冠”对儿童的影响:全球和香港的观点。

Impact of "Long Covid" on Children: Global and Hong Kong Perspectives.

机构信息

Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Hong Kong SAR, China.

Department of Pediatrics, The Alberta Children's Hospital and The University of Calgary, Calgary, Alberta, Canada.

出版信息

Curr Pediatr Rev. 2024;20(1):59-65. doi: 10.2174/1573396319666221021154949.

DOI:10.2174/1573396319666221021154949
PMID:36281870
Abstract

BACKGROUND

The coronavirus disease (COVID-19) pandemic spares no nation or city, and the virus is responsible for the escalating incidence and mortality worldwide.

OBJECTIVE

This article reviews the impact of "Long Covid" on Children.

METHODS

A PubMed search was conducted in December 2021 in Clinical Queries using the key terms "COVID-19" OR "long COVID". The search was restricted to children and adolescent aged < 18 years and English literature.

RESULTS

Many large-scale studies have provided strong scientific evidence as to the detrimental and irreversible sequelae of COVID-19 on the health, psychology, and development of affected children. Many insights into managing this disease can be obtained from comparing the management of influenza. COVID-19 is generally a mild respiratory disease in children. Several syndromes, such as multisystem inflammatory syndrome in children (MIS-C) and COVID toe, are probably not specific to SARS-CoV-2. "Long COVID", or the long-term effects of SARS-CoV-2 infection, or the prolonged isolation and containment strategies on education and psychosocial influences on children associated with the pandemic, are significant.

CONCLUSION

Healthcare providers must be aware of the potential effects of quarantine on children's mental health. More importantly, healthcare providers must appreciate the importance of the decisions and actions made by governments, non-governmental organizations, the community, schools, and parents in reducing the possible effects of this situation. Multifaceted age-specific and developmentally appropriate strategies must be adopted by healthcare authorities to lessen the negative impact of quarantine on the psychological well-being of children.

摘要

背景

冠状病毒病(COVID-19)疫情无国无市可幸免,该病毒在全球范围内导致发病率和死亡率不断上升。

目的

本文综述“长新冠”对儿童的影响。

方法

2021 年 12 月,在临床查询中使用“COVID-19”或“长新冠”作为关键词,在 PubMed 中进行检索。检索范围限定为儿童和青少年年龄<18 岁和英文文献。

结果

许多大规模研究为 COVID-19 对受影响儿童的健康、心理和发育造成的有害和不可逆转的后遗症提供了强有力的科学证据。从比较流感的管理中可以获得许多关于管理这种疾病的见解。COVID-19 在儿童中通常是一种轻度呼吸道疾病。几种综合征,如儿童多系统炎症综合征(MIS-C)和 COVID 脚趾,可能不是 SARS-CoV-2 特有的。“长新冠”,即 SARS-CoV-2 感染的长期影响,或与大流行相关的隔离和遏制策略对儿童教育和社会心理的长期影响,是显著的。

结论

医疗保健提供者必须意识到隔离对儿童心理健康的潜在影响。更重要的是,医疗保健提供者必须认识到政府、非政府组织、社区、学校和家长在做出决策和采取行动方面的重要性,以减少这种情况的可能影响。医疗保健当局必须采取多方面的、特定于年龄的和适合发展的策略,以减轻隔离对儿童心理健康的负面影响。

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SARS-CoV-2 Encephalitis Influenza Encephalitis: More Similarities than Differences.严重急性呼吸综合征冠状病毒2型脑炎与流感脑炎:相似之处多于不同之处。
Curr Pediatr Rev. 2024;20(4):525-531. doi: 10.2174/1573396320666230821110450.