目的明确深圳市罗湖区某幼儿园一起疱疹性咽峡炎(herpangina,HA)混合手足口病(hand,foot and mouth disease,HFMD)聚集性疫情的流行病学特征,分析疫情持续传播的因素,为制定有效的防控措施提供科学依据。方法应用现场流行病学方法整理...目的明确深圳市罗湖区某幼儿园一起疱疹性咽峡炎(herpangina,HA)混合手足口病(hand,foot and mouth disease,HFMD)聚集性疫情的流行病学特征,分析疫情持续传播的因素,为制定有效的防控措施提供科学依据。方法应用现场流行病学方法整理分析疫情相关资料,在疫情接报和持续传播阶段分别采集病例咽拭子、肛拭子以及环境样本检测肠道病毒核酸及基因分型。结果本起疫情共持续42d,报告115例病例,无重症、住院及死亡病例。其中HA 86例,HFMD 11例,其他18例。幼儿园整体罹患率为20.7%(115/555),其中教学楼二楼儿童罹患率为27.5%(57/207),与一楼相比差异具有统计学意义(RR=1.824,95%CI:1.187~2.804)。实验室检测发现前后两次采样的病原体型别不同。疫情持续传播可能与社区密切接触、首诊误诊、晨检不规范、游园活动等因素有关。结论这是一起由多个传播源头引起的HA混合HFMD聚集性疫情。既有社区到幼儿园的传播,也存在幼儿园跨班级间传播。建议校园传染病防控增加居家隔离观察期,以防疫情持续传播。展开更多
Background Herpangina is a common infectious disease in childhood caused by an enterovirus.This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis.Methods The Subspecialty Grou...Background Herpangina is a common infectious disease in childhood caused by an enterovirus.This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis.Methods The Subspecialty Group of Infectious Diseases,the Society of Pediatric,Chinese Medical Association and Nation Medical Quality Control Center for Infectious Diseases gathered 20 experts to develop the consensus,who are specialized in diagnosis and treatment of herpangina.Results The main pathogenic serotypes of herpangina include Coxsackievirus-A,Enterovirus-A and Echovirus.Its diagnosis can be rendered on the basis of history of epidemiology,typical symptoms,characteristic pharyngeal damage and virological tests.The treatment is mainly symptomatic,and incorporates topical oral spray with antiviral drugs.The course of herpangina generally lasts 4-6 days with a good prognosis.Conclusion The consensus could provide advices and references for the diagnosis,treatment and management of herpangina in children.展开更多
文摘Background Herpangina is a common infectious disease in childhood caused by an enterovirus.This consensus is aiming to standardize and improve herpangina prevention and clinical diagnosis.Methods The Subspecialty Group of Infectious Diseases,the Society of Pediatric,Chinese Medical Association and Nation Medical Quality Control Center for Infectious Diseases gathered 20 experts to develop the consensus,who are specialized in diagnosis and treatment of herpangina.Results The main pathogenic serotypes of herpangina include Coxsackievirus-A,Enterovirus-A and Echovirus.Its diagnosis can be rendered on the basis of history of epidemiology,typical symptoms,characteristic pharyngeal damage and virological tests.The treatment is mainly symptomatic,and incorporates topical oral spray with antiviral drugs.The course of herpangina generally lasts 4-6 days with a good prognosis.Conclusion The consensus could provide advices and references for the diagnosis,treatment and management of herpangina in children.
