There is a reason, not so obvious, to vaccinate and not give a truce to the coronavirus. It is about avoiding the damage that the infection can cause even past one or two months from the "clinical" healing (a negative test) and that can be prolonged for weeks. It is the persistent Covid, a disease in its own right. In Italy, this ailment has been officially recognized, offering patients for free specific evidence.
According to a British study, 10% of patients recovered from Coronavirus, suffer this condition after four weeks from their negative test. In addition, the persistent COVID prevents the full recovery of 5% of the recovered from the respiratory syndrome given by SARS-COV-2.
In Italy it would be talking about, at least, 200-400 thousand people. "The estimates are provisional - explains Geriatric Graziano Onder-. It depends on the fact that there are no defined diagnostic criteria. Many are related to the type of infection. The most exposed to the risk of developing persistent Covid are the former patients who have passed through Serious forms, the elderly, people with other pathologies, women. Those who have had mild symptoms, although the odds are minor, are not entirely exempt. "
Persistent Covid is a chronic syndrome, resulting from the inflammatory storm caused by Covid-19. The cognitive deterioration (the so-called brain whipping that describe the British, the cerebral mist), vascular, cardiac, respiratory, neurological, renal, dermatological problems are some of its direct consequences. These add the anxiety, depression, the sensation of fatigue or the detachment of life. The list extends to more than 200 symptoms in ten organs. Recent international studies have updated the list of clinical repercussions, describing cases of persistent Covid at 35 weeks from the "biological resolution" of the infection, that is, from the negative test.
In any case, the persistent Covid can make it difficult for people to return to work. "Clinical manifestations - write the authors of the Italian report - are very variable and there is no consensus on the characteristics. Symptoms are varied and can be presented both individually and in different combinations. They can be transitory or intermittent, change nature over time or Be constant ". In general, the more serious the disease is, the greater the extension of the symptoms. But "it has been observed that persistent Covid can also accompany people who in the phase of SARS-COV-2 infection have experienced only mild symptoms such as fever, cough, fatigue". The result is that the patient finds it difficult to return to the state of health prior to infection. Children are also affected, although very rarely.
"Patients with persistent Covid must be addressed from a multidisciplinary, personalized, modulated perspective taking into account the variety of their conditions." The first point of reference must be the family doctor, who will be responsible for evaluating the case and deepening studies on syndrome.
The first to describe the persistent Covid in Italy was Francesco Landi, who organized a day hospital for Post Covid patients at the GEMELLI polyclinic. The team coordinator is the geriatric, but there is no age limit to undergo a total evaluation (pneumological, rheumatological, gastroenterological, otorrinolaryngological, neurological and psychiatric).Updated Date: 09 October 2021, 05:31