Physiatrist Group Issues First Guidelines for Long COVID in Kids

The 29-page guidance statement has detailed recommendations on how to assess whether children have long COVID. It also details a variety of treatments — many of them nonpharmacologic — for symptoms.

Concerning fatigue, for instance, the guidance urges optimizing nutrition, hydration, and sleep, and slowly advancing physical activity with a focus on avoiding postexertional malaise. The statement was partially aimed at primary care physicians because they are often the first to see children with long COVID and may be the ones who end up treating them, especially if there are no multidisciplinary long COVID clinics in the area, said Morrow.

Usually the first presenting symptoms are cardiovascular, said Alba Azola, MD, co-director of the Johns Hopkins Post-Acute COVID-19 Team, and lead author of the 22-page guidance on autonomic dysfunction. A key part of the guidance is helping clinicians discriminate between underlying structural cardiovascular issues and postviral autonomic symptoms, she said at the briefing.

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