– The editorial staff of DemarchesAdministratives.fr

In some patients infected with Covid-19, the symptoms drag on. We then speak of long Covid. In the form of 10 technical sheets and “Quick responses”, the HAS (Haute Autorité de santé) has provided healthcare professionals with its recommendations for the identification and management of patients who suffer from it.

  • What is the long Covid?

  • What are the HAS recommendations in the event of a long Covid?

According to the HAS, 20% of patients with Covid-19 still show symptoms after 5 weeks and 10% of them after 3 months. Loss of taste and smell, shortness of breath, chest pain or even fatigue, persistent disorders can be a daily problem and require follow-up.

What is the long Covid?

the Covid long is a term gradually adopted by patients and professionals alike to describe people suffering from a persistence of symptoms of Covid-19. For the World Health Organization (WHO), it is a priority and requires the attention of health authorities. The HAS looked into the question and established 3 criteriato identify patients with prolonged symptoms:

  • the appearance of symptoms of Covid-19;
  • one or more of these symptoms are still present 4 weeks after the onset of the disease;
  • none of them is explained by another diagnosis.

Studies are progressing and allow HAS to establish a list of recommendations for each of the ten symptoms identified: fatigue, dyspnea, chest pain, loss of taste and smell, pain, exercise deconditioning, hyperventilation, neurological manifestations, autonomic nervous system disorders (chills, dizziness, etc.) and functional somatic disorders (nausea, palpitation, etc.).

What are the HAS recommendations in the event of a long Covid?

Faced with such symptoms, the healthcare professional must carry out a check-up and listen carefully to his patient. Covid-19 is a still unrecognized disease and professionals have little perspective on its long-term consequences. HAS therefore invites ” doctors to listen and empathize », But also to reassure patients by explaining to them that these symptoms are temporary.

Patients will be offered a adapted care plan, accompanied by regular monitoring. In addition to treatment and possible rehabilitation, useful advice and contacts will be given to improve the situation. The HAS insists on the importance of a healthy lifestyle and the maintenance of a physical activity, always according to the capacities of the patient. The intervention of a physiotherapist is possible. Conversely, she does not recommend the alternative medicine and exclusionary diets, in the absence of studies in these areas.

While SARS ‑ CoV ‑ 2 infection is recognized as an occupational disease under certain conditions, there is a long way to go before that of Covid long as a long-term condition (ALD) and therefore 100% reimbursement of care. On February 17, the National Assembly still validated a text whose goal is to improve the management of long forms of the disease.

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