ĐẶC ĐIỂM DỊCH TỄ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN BỆNH TAY CHÂN MIỆNG TẠI TỈNH CÀ MAU GIAI ĐOẠN 2017-2023

Abstract

Introduction: Most cases of Hand, Foot and Mouth Disease recover without sequelae. However, some cases have serious complications and even death. Therefore, it is necessary to determine the epidemiological characteristics and risk factors. Objectives: To determine the epidemiological characteristics: place of residence, month of illness, related factors such as: age group, gender, medical facility after detection of the disease, in Ca Mau province 2017-2023 period. Subjects and methods: A retrospective cross-sectional study was conducted on 18057 children with Hand, Foot and Mouth Disease 2017-2023 period. Results: The rate of children with Hand, Foot and Mouth Disease at grades 1 and 2a accounted for 98.38%, boys 59.59% (10761) girls 40.41% (7296), the hospitalization rate was 65.75%, outpatient treatment was 34.25%, the disease appeared sporadically throughout the year and increased from September to November. Children in rural areas who went to medical facilities late increased the difference in complications with OR of 1.22 and 1.50, respectively, with p both <0.05. Conversely, the older the child, the lower the rate of complications when infected with OR=0.86 95% CI [0.84-0.88] and there was no difference in the status of complications in boys and girls, p=0.12 after multivariate analysis. Conclusion: Most children with Hand, Foot and Mouth Disease are mild, boys are more affected than girls, the disease increases from September to November. Children in rural areas who go to the doctor late increase the difference in complications, on the contrary, the group of older children will reduce the rate of complications.