CAJ | 학술논문

目的：探讨复治手足口病临床特征及病原学感染情况。方法：收治手足口病复治患者86例，作为复治组，初治组86例和对照组手足口病90例。观察各组EV71感染情况，并对早期重症临床指标及预后进行对比分析。结果：复治组EV71(+)52例，随访结果，病程第1周EV71阴转0例，第2周阴转10例，阴转率19.23%。结论：复治手足口病存在复发、重复感染及交叉感染等多种感染途径，EV71(+)者为主要传染源，对EV71感染手足口病患儿应隔离至3～4周以防传播。
목적：탐토복치수족구병림상특정급병원학감염정황。방법：수치수족구병복치환자86례，작위복치조，초치조86례화대조조수족구병90례。관찰각조EV71감염정황，병대조기중증림상지표급예후진행대비분석。결과：복치조EV71(+)52례，수방결과，병정제1주EV71음전0례，제2주음전10례，음전솔19.23%。결론：복치수족구병존재복발、중복감염급교차감염등다충감염도경，EV71(+)자위주요전염원，대EV71감염수족구병환인응격리지3～4주이방전파。
Objective:To investigate the clinical features and pathogen infection of hand foot and mouth disease.Methods:86 patients with hand foot and mouth disease with retreatment were selected as the retreatment group.Initial treatment group had 86 patients,the control group had 90 patients.Infection of EV71 of the three groups was observed,the clinical index about the early stage of severe and prognosis were compared.Results:In the retreatment group,52 cases were EV71(+);after follow-up,EV71 of 0 case was negative at the first week,EV71 of 10 case were negative at the second week,negative conversion rate was 19.23%. Conclusion:Retreatment of hand foot and mouth disease has many kinds of infection,such as recurrent,repeated infection and cross infection and so on.EV71(+) is the main source of infection.Children with hand foot and mouth disease with EV71 infection should be isolated for 3 to 4 weeks to prevent the spread.