Epidemiological characteristics analysis of 1096 hospitalized hand-footmouth disease cases in Zibo area
WANG Yin-hong1 WANG Guang-juan1 ZHAO Feng-kai2 LI Guo-dong1
1.Department of Science and Education,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo 255022,China;
2.Collage of Management,Jilin Medical University,Jilin Province,Jilin 132000,China
Abstract：Objective To analyze the epidemiological characteristics of 1096 hospitalized hand-foot-mouth disease cases in Zibo area from 2016 to 2018,in order to provide scientific and effective supports for taking targeted preventive measures,reducing the incidence of hand-foot-mouth disease,improving the cure rate of hand-foot-mouth cases and saving medical costs.Methods The data of 1096 children with hand-foot-mouth disease admitted to Zibo Maternal and Child Health Hospital from January 2016 to December 2018 were collected for descriptive analysis.Pharyngeal swabs were collected from 152 cases to analyze enterovirus types.Results The 1096 children with hand-foot-mouth disease from 2016 to 2018 included 5 severe cases and no deaths.The male to female ratio was 1.68∶1,there were more males than females,mostly scattered living children (77.65%).The onset month was mainly concentrated from June to August and from September to November.The age of the children was concentrated in 5 years old and younger,and children under 2 years old accounted for a higher proportion of hospitalized children.Rural children accounted for a higher proportion than urban children.Of the 152 pharyngeal swabs collected,there were 69 Enterovirus 71 (EV71) cases detected with a positive rate of 45.39%,there were 53 cases of Coxsackie virus A group 16 (Cox A16) detected with the positive rate of 34.87%,other enteroviruses detected were 30 cases with 19.74% positive rate.Conclusion During the high incidence of hand-foot-mouth disease in Zibo area,it should be strengthened the prevention and control of EV71 and Cox A16.The key time range of preventing and control for children with hand-foot-mouth disease in Zibo area is summer and autumn.The key age group of children with hand-foot-mouth disease prevention and treatment is under 5 years old,and the best treatment group after the onset is children under 2 years old.For early intervention and prevention,it is necessary to strengthen the hand-foot-mouth disease health education for scattered children and parents in rural areas.
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