Herpes angina, high incidence of hand, foot and mouth disease

Hospital pediatric outpatient volume has increased by nearly 30% recently Www.nhnews.com.cn Ninghai News Network May 15, 2019 09:51:38   Reporter Pan Xuting correspondent Xia Yaping
   (Seeking medical advice)
  "Doctor, you can help our family Xiaobao to see that the temperature has not come down in recent days. When you eat something, you cry and drool." At the Pediatric Clinic of the County Women's Insurance Institute, there are many parents who come to the hospital with their children. .
  The reporter learned from the County Women's Hospital that the number of pediatric emergency rooms increased significantly in May, an increase of nearly 30% compared with the weekdays. The incidence of herpetic angina and hand, foot and mouth disease more than doubled in winter.
  "Herpes angina, hand, foot and mouth disease is a common infectious disease caused by various enteroviruses. The enterovirus is easy to survive in a hot and humid environment. From the current clinical observation, the incidence is mainly children. Most of them are mild. As the weather gets warmer, the virus is expected to be more active." Wang Yaodong, director of the Pediatrics Department of the County Women's Insurance Institute.
  It is understood that herpes angina and hand, foot and mouth disease are self-limiting diseases caused by enterovirus. The course of disease is about one week, and it occurs in summer and autumn. It is mainly transmitted through fecal-oral, respiratory droplets and contact.
  Herpetic angina is characterized by acute fever and pharyngeal herpes ulcer. After the onset, older children will directly express sore throat, especially when swallowing. Some children have headache, abdominal pain, and myalgia; infants and young children show Fever (partially no fever), refusal to eat, drooling, retching, irritability, crying and other symptoms. Most children can heal themselves, but if the situation is more serious, they should seek medical treatment as soon as possible. If the treatment is severely delayed, it can cause myocarditis and endanger the child's life.
  Hand, foot and mouth disease with fever and oral mucosa herpes, palmar rash, herpes on the hands, feet and buttocks, there may be inflammatory redness around herpes, may be accompanied by cough, runny, loss of appetite, nausea, abdominal pain and other symptoms. Most children can heal themselves, and a small number of children may have complications such as aseptic meningitis, encephalitis, acute flaccid paralysis, myocarditis, and pneumonia.
  Wang Yaodong reminded parents to check the child's mouth and skin for abnormalities every day, pay attention to the child's temperature changes. After the child is sick, the parents do not have to worry too much. When the fever occurs, the physical cooling can be carried out by means of a sticker, a warm water bath, etc. If the body temperature exceeds 38.5 degrees Celsius, it is recommended to take antipyretics; if two or three days later, the high fever is still not retired, or mental state. Not good, it is recommended to go to the hospital. In addition, parents should pay attention to the situation, if the child is found to have abnormal conditions such as febrile seizures, he should see a doctor immediately. At the same time, encourage children to eat high-nutrient, digestible liquid, semi-liquid food, light diet, do not eat fish and shrimp or too hot, spicy, heavy food. After the fever, the herpes in the mouth rupture, causing oral wounds, the child will be very painful when eating, especially to strengthen the care and prevent infection. At the same time, parents are advised to inoculate enterovirus 71 (EV71) inactivated vaccine for children between 6 months and 5 years old. Although hand, foot and mouth disease can be caused by multiple pathogens, vaccination can effectively prevent severe hand, foot and mouth disease caused by EV71. .
  So, how to prevent herpes angina and hand, foot and mouth disease? Wang Yaodong suggested that it is the key to develop good personal hygiene habits. Wash hands and wash your hands with soap or hand soap before and after meals. Do not give your child raw water, eat cold food, fully clean and disinfect. Tableware, clothes, bedding, toys, etc. should also be cleaned and dried in time; usually drink plenty of water, eat more fresh vegetables and digestible foods, and develop good food hygiene habits; public without crowds to crowds and poor air circulation In places and rooms, the windows should be frequently ventilated to keep the indoor air fresh. Once the child is found to have herpetic angina or hand, foot and mouth disease, appropriate isolation measures should be taken to avoid transmission to other children.