Recognizing pediatric hand, foot and mouth disease

  There are many common skin diseases in babies, including bacterial skin infections such as pustules (commonly known as “yellow sores”) and streptococcal infections such as scarlet fever. Infections caused by viruses: such as toddler rash, chicken pox, rubella, infectious erythema, measles and so on. In addition, there are eczema, urticaria, papular urticaria, etc. In addition, some diseases can cause skin manifestations, such as hemorrhagic, allergic factors involved in “allergic purpura”, thrombocytopenic purpura, there will be bleeding spots on the skin mucosa.  In addition, the hand, foot and mouth disease, which is a common concern nowadays, is actually a pediatric enterovirus infection with skin and mucous membrane manifestations. In addition, inflammation of sweat glands, manifested as prickly heat, and inflammation of hair follicles, can also develop into pediatric infections after infection. Sandy dermatitis, which is easily caused by children after exposure to sandy soil, is also more common in clinical practice. Skin diseases in babies are related to the child’s own immune genetics, and other diseases may also accompany the skin manifestations. Therefore, it is important not to underestimate the skin manifestations and not to think that it is simply a skin problem, but sometimes it can be a clue to a systemic disease, and sometimes it is a very important clue. Of course, we are going to talk here mainly about common problems, so that you have a certain understanding and less detours.  Hand, foot and mouth disease is an enterovirus infection caused by the cause of infectious diseases. 2008 from Fuyang, Anhui began to appear on a large scale, this disease is not a new disease, is an old common infectious diseases. Hand, foot and mouth disease is a common and frequent disease, EV71 infection has appeared in Guangzhou in previous years, the designated hospitals have a wealth of experience in treatment. Although EV71 is an enterovirus, the clinical manifestations of human infection are varied, mainly manifesting as hand, foot and mouth disease, with some EV71-infected children manifesting as herpetic pharyngitis, and only a small number of severe patients showing viral encephalitis, meningitis, brainstem encephalitis, viral encephalomyelitis, pulmonary edema, pulmonary hemorrhage, circulatory disorders, etc. The cause of death is mainly brainstem encephalitis and neurogenic pulmonary edema, with some neurological sequelae are left behind.  Although EV71 can cause HFMD, it is not the only pathogen of HFMD. Other enteroviruses such as coxsackievirus group A type 16 and echovirus can cause HFMD. Incubation period of the disease: mostly 2-10 days, with an average of 3-5 days. Hand, foot and mouth disease is transmitted in many ways, mainly through fecal-oral transmission, close contact with the patient’s feces, herpes fluid and respiratory secretions (such as sneezing droplets, etc.) and infection. Enteroviruses include coxsackievirus types 4, 5, 7, 9, 10, 16 of group A and types 2, 5, 13 of group B, echovirus, and enterovirus EV-71. The main route of transmission of enterovirus infection is the fecal-oral route, but it can also be transmitted through the respiratory tract.  Children can be infected when they come into contact with hands, towels, handkerchiefs, tooth cups, toys, tableware, bottles, bedding and other items contaminated with saliva, herpes fluid and feces from patients with HFMD or asymptomatic carriers; in addition, there are other routes of transmission for patients. Manifestations: Before the rash appears, the child has flu-like symptoms, with a fever of 38 degrees or higher. In addition to respiratory symptoms, the child may also have diarrhea, usually after 2-3 days of fever, and may have a rash around the mucous membranes of the hands, mouth, buttocks, and skin around the anus. Some children may not have a fever. The child will have difficulty swallowing, especially if it is in the throat.  The disease usually disappears after a week and does not leave scars after it subsides without scratching or ulceration. HFMD is an intestinal infection. The doctor will treat it symptomatically. The fever is reduced, while eating some anti-viral drugs, it is recommended to use less Chinese medicine that simply clears the heat and detoxifies, it will ice volatile stay evil, it is recommended that Chinese medicine identification treatment, will shorten the course of the disease, reduce symptoms. It is recommended to consult a designated hospital. If the hand, foot and mouth infection is combined with other diseases later, the healing process is relatively poor.  Parents should not be overly nervous. It is recommended that parents do a good job in baby care, avoid taking their children to crowded public places in summer and autumn, drink more water, and eat a lighter diet of well-digested food, including vegetables and fruits. Take your child to outdoor activities where the air is good. Pay attention to regular indoor ventilation every day, and need to do some ventilation work in the morning and afternoon every day. Finally, parents should pay attention to wash their children’s hands after they go out and come home. Washing the skin that has been in contact with the outside world is a very effective way to prevent hand, foot and mouth disease.  How to disinfect the enterovirus?  Disinfectant containing chlorine is effective in preventing this disease, and ultraviolet light is also good for disinfection. Take out your child’s towels and quilts and put them in the sun in a sunny place. Reminder: If you find that children around your child are already sick, parents should be aware of isolation to avoid cross-infection. This is also necessary after your own child gets sick, so as to effectively reduce the spread of the disease.  In the prevention of hand, foot and mouth disease to do the following: 1, 84 disinfectant disinfection To do a good job of prevention, familiar alcohol, lysol and other general disinfectants can not kill the intestinal virus, but a variety of oxidants, such as potassium permanganate, bleach, 84 disinfectant are effective against intestinal viruses.  2, wash hands for more than 6 seconds Good personal hygiene, pay attention to hand hygiene, parents must let their children develop the good habit of washing hands regularly, indoor ventilation, adults and children should wash their hands properly, soap or hand sanitizer on the hands to keep more than 6 seconds.  3, pay attention to nutrition and sleep Good environmental hygiene, food hygiene can also be done to effectively prevent infection. Pay attention to the nutrition of infants and children, moderate exercise and adequate sleep to improve immunity.  4. Disinfection in childcare institutions Childcare institutions can clean and disinfect toys and utensils daily to interrupt indirect contact transmission.  5. Go to less crowded places During the spring and summer epidemic season, try to go to less crowded public places to reduce the chance of contact between children and affected children.  6. Do morning checkups and ventilation Do morning checkups in childcare institutions, elementary schools and other places where children live and study in groups. Keep classrooms and bedrooms ventilated.