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目的:通过对某一局部集中发生重症手足口病患儿的流行病学调查和实验室检查,了解2008年5月手足口病爆发以来患儿发生手足口病合并病毒性脑膜炎的情况以及患儿是否感染EV71型肠道病毒,向幼托机构提供预防手足口病的相关措施,提醒医院加强病区、门诊管理,防止手足口病的交叉感染。方法:对患儿进行现场流行病学调查,填写手足口病流行病学个案调查表。结果:2例手足口病重症患儿均有流行病学接触史,但无外出史,未饮用不洁水源,实验室检测均为病毒性脑膜炎,咽拭子和肛拭子检出肠道病毒阳性率高,急性期血分离出EV71型肠道病毒。讨论:幼托机构对手足口病的防治措施;医院内部需加强管理,预防交叉感染;医疗机构与疾病控制机构的密切配合。
OBJECTIVE: To understand the prevalence of HFMD complicated with viral meningitis in children with hand-foot-and-mouth disease since the outbreak of HFMD in May 2008 by means of epidemiological investigation and laboratory tests on a localized HFMD Children infected with EV71 enterovirus, KTB to provide measures to prevent hand-foot-mouth disease, to remind the hospital to strengthen ward, out-patient management, to prevent cross-infection hand, foot and mouth disease. Methods: The epidemiological survey of children, fill in epidemiological hand-foot-mouth disease case questionnaire. Results: Two cases of hand, foot and mouth disease in children with severe history of epidemiological exposure, but not out of history, not drinking dirty water, laboratory tests were viral meningitis, throat swabs and anal swab detected in the intestine The positive rate of the virus is high, and the acute phase blood separates the EV71 type enterovirus. Discussion: Preventive measures against karmic-foot-mouth disease in kindergartens; intensified management within the hospital to prevent cross-infection; close cooperation between medical institutions and disease control agencies.