Covid persistent

Index

  1. What is persistent COVID?
  2. Prognosis of the disease
  3. Symptoms of persistent COVID
  4. Treatments for persistent COVID
  5. Which specialist treats it?

What is persistent COVID?

The World Health Organization (WHO) defines persistent COVID or long COVID as those individuals with a history of probable or confirmed SARS-CoV-2 infection, usually about three months after the onset of COVID-19, with symptoms that last for at least two months and cannot be explained by an alternative diagnosis.

Sequelae arising from the infectious process are present, especially if it has developed severely. Signs and symptoms are maintained beyond 4 to 12 weeks, unrelated to other diseases of the patient.

Prognosis of the disease

About a quarter of people who have been infected with mild-moderate COVID-19 virus experience symptoms that continue for at least a month, but one in ten still do not feel well after 12 weeks.

Symptoms of persistent COVID

Persistent COVID is associated with a variety of overlapping symptoms including: generalized chest and muscle pain, fatigue, shortness of breath, and cognitive dysfunction, and the mechanisms involved affect multiple systems and include viral persistence, persistent inflammation, thrombosis, autoimmunity, dysbiosis, metabolic disturbance, nutritional deficits.

Treatments for persistent COVID

Clinical practice has shown that symptoms of persistent COVID can be minimized. This requires the use of precision medicine, where through specific analysis for persistent COVID, specific biomarkers are detected that allow the specialist to establish the most appropriate treatment, which usually includes:

  • Nutritional Therapy
  • Physical and cardiorespiratory rehabilitation
  • Neuro-cognitive rehabilitation
  • Gut microbiota regeneration therapy
  • Emotional management
  • Pharmacological therapy
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Which specialist treats it?

Persistent COVID is usually treated by specialists in Family Medicine or Internal Medicine. This pathology can also affect mental health, so there are many specialists in psychology who can help patients with long covid.