ĐẶC ĐIỂM DỊCH TỄ HỌC LÂM SÀNG BỆNH TAY CHÂN MIỆNG Ở TRẺ EM TẠI BỆNH VIỆN ĐA KHOA XANH PÔN HÀ NỘI

Abstract

Objective: To describe the clinical and laboratory characteristics of children with the hand – foot and mouth disease at Saint Paul hospital from  August 2020 to July 2021. Subjects and method: Case-series study. 80 patients diagnosed with hand, foot and mouth disease were treated at the General Pediatrics Department of Saint Paul General Hospital. Results: The male/female ratio is 2.1/1. Average age is 1.8 - 1.6 years old. Fever is a common symptom accounting for 100%. 53,8% mild fever < 380 5 and 46,2% high fever  > 380 5. Rash on the hands and feet: 100%. The rate of patients with serious mouth ulcers and rash on hands and feet was 11.9 %. 80% patients have contact with the source of infection. 78/80 patients admitted to hospital have neurological signs. 100% patients show signs of startling, 69/80 patients have signs of heart disease: 100% tarchycardia (over 150 beats per minute), 18/80 patients with other infection diseases. Patients at stage 2b group 1: 58,8%. PCR EV71 (+): 28%. White blood cell and CRP increased in the group of hands, feet and mouth with comorbidities. Conclusion: Hand, foot and mouth disease in children is a contagious disease. It is a viral infection characterized by mild fever, a variety of symptoms, typical rash on hands and feet and mouth ulcers. Patient needs to be hospitalized at grade 2. EV71 virus is a test with definite diagnostic value found only in 28.8%. The main diagnosis is based on the characteristic clinical symptoms of the disease.