手足口病临床特征及医院感染管理

目的 了解手足口病的临床流行病学特征,探讨医院感染管理在手足口病流行期间的成效。方法 对2008年5-7月收住院的132例手足口病病例进行临床流行病学调查,整理医院感染各项防控措施。结果 本次手足口病流行主要是肠道病毒71型(EV71)感染,男女分别为65,67例,比例相近,以3岁以下病例为主占68.2%,临床表现多数为轻症以发热为主占总病例的93.9%,132例患儿全部有皮疹或疱疾,2例并发脑干脑炎,病死率为0.76%。流行期间科学、合理地实施各项院内感染防控措施,仅出现1例医院感染,远远低于同期其他病区的医院感染率。结论 医务人员重视医院感染工作,可有效预防手足口病在医院内传播。

Epidemiological analysis and nosocomial infection management of hand-foot-mouth disease

Objective To investigate prevalent chanacteristics of hand-food-mouth disease (HFMD) and the effect of nosocomial infection(NI) management on the epidemic of HFMD. Methods Epidemiological investigation on 132 HFMD cases was conducted from May to July,2008 ,and the data of measures on NI prevention and control was collected and ana-lyzed. Results The major pathogen of the epidemic was EV71. The cases were mainly children under three years(68.2%) with mild symptoms and even gender distribution(65 males and 67 female cases). All 132 cases had skin rash and 2 cases had brainstem encephalitis with a total fatality rate of 0. 76%. There was only one NI case occured,ad the NI rate was signif-icantly lower than that of in other hospitals during the same period. Conclusion The HFMD could be effectively prevented with strict NI prevention measures.