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Stellungnahme von Dr. Charles Shepherd: Update: Post-Covid Fatigue, Post/Long-Covid Syndromes, and ME/CFS (

Datum: 27.07.2020 Kategorie: 07 Fatigatio e.V. Autor: MKK (kanter)

For the past four months the ME Association has been providing free information, guidance and support for people with ME/CFS who are at risk of COVID infection, those who have contracted the virus, were recovering, and for others who developed chronic symptoms suggestive of a post-viral fatigue syndrome and possibly ME/CFS. Free leaflet download!   The reports that I have been receiving over the past few months indicate that we are dealing with a complex group of clinical presentations in the groups of people with post/long-COVID syndromes i.e. those whose COVID symptoms remain unresolved or who develop more chronic symptoms with associated disability.   In very simple terms it’s probably helpful to divide post/long-COVID syndromes into three defined groups – although there is quite a lot of overlap and not everyone will neatly fit into any one group.   As far the number of people who are affected by a post/long-COVID syndrome – we just don’t know.

Key Principles of Management

In our current state of knowledge, this guidance is based on the basic principles of managing any post-viral fatigue syndrome/PVFS and good old-fashioned convalescence:

  1. Pacing, planning and prioritising physical and cognitive activities – where increases in activity levels need to be gradual and flexible and interspersed with periods of rest and relaxation. Graded exercise therapy is NOT appropriate here.
  2. Good quality sleep – an excessive sleep requirement (hypersomnia) is a normal part of the body’s healing process following a severe infection and should not be interfered with.
  3. Good nutrition and fluid intake, including avoiding or cutting down on caffeine and alcohol.
  4. Maintaining mental well-being.
  5. When/where possible – a very gradual and modified return to work or education.
  6. Maintaining contact with a GP.

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