公衆衛生87巻6号

2023年06月発行

特集 小児のCOVID-19とその対策

小児のCOVID-19関連病態—long COVID

著者： 勝田友博¹

所属機関： ¹聖マリアンナ医科大学小児科学教室

ページ範囲：P.531 - P.538

ポイント
◆小児Long COVIDの頻度は成人よりも低率であるが、国内小児（20歳未満）においても約3.2%で認めている。
◆小児Long COVIDは機能性身体症状との鑑別、またはメンタルヘルスの関与も想定する必要がある。
◆臨床経過が複雑となりやすい小児Long COVIDは多職種で連携した診療が不可避である。

参考文献

1）World Health Organization: A clinical case definition of post COVID-19 condition by a Delphi consensus, 6 October 2021　https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1（2023年1月10日閲覧）

2）National Institute for Health and Care Excellence: COVID-19 rapid guideline: managing the long-term effects of COVID-19. 2020　https://www.nice.org.uk/guidance/ng188（2023年1月10日閲覧）

3）Center for Disease Control and Prevention: Long COVID or Post-COVID Conditions. 2021　https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html#print（2023年1月10日閲覧）

4）新型コロナウイルス感染症 診療の手引き別冊 罹患後症状のマネジメント 編集委員会：新型コロナウイルス感染症 診療の手引き別冊　罹患後症状のマネジメント，第2.0版．2022　https://www.mhlw.go.jp/content/000952747.pdf（2023年1月10日閲覧）

5）Stephenson T, et al: Long COVID（post-COVID-19 condition）in children: a modified Delphi process. Arch Dis Child 107: 674-680, 2022

6）勝田友寿, 他：データベースを用いた国内小児新型コロナウイルス感染症の臨床症状に関する評価．日小児会誌 127：79-83, 2023

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