Hand, Foot and mouth disease outbreak, protective Collection

Posted on November 9, 2009
Filed Under Hand-Foot-Mouth Disease Prevention | Leave a Comment

A definition

Hand, Foot and mouth disease is an infectious disease caused by enteroviruses, multi-occurred in children under 5 years of age, can cause hand, foot, mouth and other parts of the herpes, a small number of children can cause myocarditis, pulmonary edema, aseptic meningitis encephalitis complications. Of individual children with severe illness and rapid development, leading to death.

Cause hand, foot and mouth disease there are more than 20 kinds of intestinal virus (type), Coxsackie virus A group 16,4,5,9,10 type, B group of 2,5-type, as well as enterovirus 71, were Hand, Foot and mouth disease in the more common pathogens, of which the Coxsackie virus A16-type (Cox A16), and enterovirus 71 (EV 71) the most common.

Two channels of dissemination

1. Skin contact with patients.

2. The virus through contaminated hands, towels, handkerchiefs and other items.

3. Patients with throat secretions (droplets) Dissemination.

4. Drinking contaminated water.

3 Prevention

Hand, Foot and mouth disease in infants generally susceptible. Most cases had mild symptoms, mainly fever and hand, foot, mouth and other parts of the characteristic rash or herpes, most patients can be self-healing. Disease control experts suggest that everyone develop good health habits, so that washing hands before meals and after, do not drink unboiled water, do not eat cold food, ground drying clothing, multi-ventilation. Childcare providers and parents suspicious children, we must promptly to medical institutions for treatment, and timely reports to the health and education sectors, to take timely control measures. Mild hospitalized children do not have to be treated at home, rest, avoid cross-infection. Do a good job in these areas as long as the work of hand, foot and mouth disease can be effective prevention and control.

4 Clinical features

Acute onset, fever; oral mucosa scattered herpes, grain size, the pain obvious; palms or soles of the feet appears the Department of rice the size of herpes, hip or knee even be involved. Yan Xing Hongyun around herpes, blister fluid less. Some children may be accompanied by cough, runny nose, loss of appetite, nausea, vomiting, headache and so like. Doctors usually based on the patient’s age, the patient or parents complain of symptoms, and examination of skin rashes and ulcers to identify hand-foot-mouth disease and oral ulcers caused by other reasons. Throat swab or stool specimen may be sent to the laboratory testing the virus, but virus detection needs 2-4 weeks to produce results, doctors do not normally make such inspections. Source: epidemiological data, clinical manifestations, laboratory examination, confirmed to be a pathogenic basis for the inspection.

Hand, Foot and mouth disease is a virus caused by several kinds of intestinal infectious diseases, mainly affects babies under the age of 5. Hand, Foot and mouth disease often engendered: in children with oral cheek, tongue, soft palate, hard palate, lips inside, hand, foot and heart, elbows, knees, hips and other parts of the former Yin, there the size of a small grain of rice or mung bean, surrounded by red-colored a small herpes or red papules.

Rash, “grotesque”: Unlike the mosquito bite, unlike the rash of drugs, unlike the gums, lips herpes, unlike chickenpox.

Rupture of herpes after oral ulcers, often drooling and can not eat.

Clinically, no itching, no pain, no scar, no scarring.

Children Niaohuang.

Heavy children may be accompanied by rash fever, runny nose, cough and other symptoms.

Hand, Foot and mouth disease in general can be recovered within a week, but if the previous herpes ulceration, very easily transmitted. Hand, Foot and mouth disease epidemic with a strength, highly infectious, complex features of transmission. Droplets of the virus through saliva or with virus fly bite of food climbed through the nasal cavity, oral infecting healthy children, but also due to direct contact with infected people.

5 Identification

Based on the above clinical features, in large-scale epidemic, the diagnosis is not difficult. However, scattered in the event, it should be with the foot and mouth disease, herpes pharyngeal buccal inflammation, rubella and other identification:

(1) foot and mouth disease caused by the foot and mouth disease virus, there are seven serotypes, 65 subtypes. Mainly affects pigs, cattle, horses and other livestock. Although people may be pathogenic, but not sensitive. Generally occurs in the pastoral areas, adult pastoralists more common, both seasons. Easy integration of oral mucosal eruption into large ulcers, back of the hand and finger, interdigital a rash, there is a sense of tickle.

(2), herpetic stomatitis incidence of the four seasons can be to scattered mainly. Generally no rash, and occasionally can occur following abdominal herpes.

(3) herpes buccal pharynx inflammation, may be CoxA group of viruses, lesions in the back of the mouth; such as the tonsils, soft palate, uvula, rarely involving the buccal mucosa, tongue, gums. Is not typical, scattered with the rash of HFMD is difficult to identify febrile diseases, pathogenic and serological surveillance to be done.

Doctors usually based on the patient’s age, the patient or parents complain of symptoms, and examination of skin rashes and ulcers to identify hand-foot-mouth disease and oral ulcers caused by other reasons. Throat swab or stool specimen may be sent to the laboratory testing the virus, but virus detection needs 2-4 weeks to produce results, doctors do not normally make such inspections. Source: epidemiological data, clinical manifestations, laboratory examination, confirmed to be a pathogenic basis for the inspection.

6 Nursing

One, disinfection and isolation

If found to have contracted hand-foot-mouth disease, for which she should be timely medical treatment to avoid contact with the outside world, generally requires isolation for 2 weeks.

Baby items used to thoroughly disinfect: Available chlorine disinfectant, not soaking the items can be placed in sunlight exposure.

Baby’s room should be on a regular basis window ventilation to keep the air fresh, flow and temperature appropriate. Conditional household per day fumigation can be used for air disinfection lactic acid. To reduce personnel and out of baby room, no smoking to prevent the air foul, to prevent secondary infection.

2, diet nutrition

If you get sick in the summer, baby easily lead to dehydration and electrolyte imbalance, the need for appropriate replenishment and nutrition.

Babies should stay in bed for 1 week, drink warm water.

Children with fever, oral herpes, appetite poor, unwilling to eat. Baby should eat light, warm, tasty, digestible, soft, liquid or semi-liquid, fasting cold, spicy, salty and spicy food and so on.

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