Volume 20 Issue 6
Jun.  2022
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FANG Xu-lan, WANG Bing-song, LI Zhen, LAN Ting. Analysis of the epidemiological characteristics and pathogenic detection results of hand, foot and mouth disease in a tertiary hospital in Wuhu City from 2020 to 2021[J]. Chinese Journal of General Practice, 2022, 20(6): 993-995. doi: 10.16766/j.cnki.issn.1674-4152.002507
Citation: FANG Xu-lan, WANG Bing-song, LI Zhen, LAN Ting. Analysis of the epidemiological characteristics and pathogenic detection results of hand, foot and mouth disease in a tertiary hospital in Wuhu City from 2020 to 2021[J]. Chinese Journal of General Practice, 2022, 20(6): 993-995. doi: 10.16766/j.cnki.issn.1674-4152.002507

Analysis of the epidemiological characteristics and pathogenic detection results of hand, foot and mouth disease in a tertiary hospital in Wuhu City from 2020 to 2021

doi: 10.16766/j.cnki.issn.1674-4152.002507
Funds:

 AHWJ2021b084

  • Received Date: 2021-12-01
    Available Online: 2022-09-21
  •   Objective  To analyse the epidemiological and pathogenic characteristics of hand, foot and mouth disease in a tertiary hospital in Wuhu City from 2020 to 2021 and to provide a reference for the city to formulate prevention and control strategies for hand, foot and mouth disease.  Methods  Epidemiological analysis was performed on 200 samples of hand, foot and mouth disease, and pathogenic detection was performed by real-time fluorescent quantitative PCR.  Results  In 200 cases of hand, foot and mouth disease, the male-to-female ratio was 1.9:1.Scattered children under 3 years of age accounted for the highest proportion of the total number of people, and 81.0% were at high risk of contracting the disease.From 2020 to 2021, the pathogens of hand, foot and mouth disease in this city were mainly CoxA16(96 cases, 48.0%) and EV71(90 cases, 45.0%), showing a common epidemic situation.In terms of detection rate, throat swabs were the highest (38.5%), and herpes fluid was the lowest (29.0%).However, the detection rates of various viruses were relatively close (P>0.05).Among the 200 cases, 133 cases were normal type (66.5%) and 67 cases were severe syndrome type (33.5%).Compared with the normal type, the incidence of symptoms such as body temperature>39℃, arrhythmia, impatience, limb shaking and neck stiffness in severe group were significantly increased (all P < 0.05).  Conclusion  The distribution of hand, foot and mouth disease has certain differences in different populations, times and regions.CoxA16 and EV71 enterovirus types have become the dominant virus types of hand, foot and mouth disease.Therefore, it is necessary to further strengthen its pathogenic monitoring, and at the same time conduct related knowledge education to improve the doctor's ability to identify case manifestations.

     

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  • [1]
    中华人民共和国国家卫生健康委员会. 手足口病诊疗指南(2018年版)[J]. 中华临床感染病杂志, 2018, 11(3): 161-166. doi: 10.3760/cma.j.issn.1674-2397.2018.03.001

    National Health Commission of the People ' s Republic of China. Guidelines for diagnosis and treatment of hand, foot and mouth disease (2018 edition)[J]. Chinese Journal of Clinical Infectious Diseases, 2018, 11(3): 161-166. doi: 10.3760/cma.j.issn.1674-2397.2018.03.001
    [2]
    包丽娟, 许富民, 梁兴业. 国内手足口病流行病学特征及疫苗研究进展[J]. 微生物学免疫学进展, 2020, 48(6): 82-86. https://www.cnki.com.cn/Article/CJFDTOTAL-WSMY202006023.htm

    BAO L J, XU F M, LIANG X Y. Epidemiological characteristics and vaccine research progress of hand, foot and mouth disease in China[J]. Progress in Microbiology and Immunology, 2020, 48(6): 82-86. https://www.cnki.com.cn/Article/CJFDTOTAL-WSMY202006023.htm
    [3]
    CHAN J H, LAW C K, HAMBLION E, et al. Best practices to prevent transmission and control outbreaks of hand, foot, and mouth disease in childcare facilities: A systematic review[J]. Hong Kong Med J, 2017, 23(2): 177-190.
    [4]
    UPALA P, APIDECHKUL T, SUTTANA W, et al. Molecular epidemiology and clinical features of hand, foot and mouth disease in northern Thailand in 2016: A prospective cohort study[J]. BMC Infect Dis, 2018, 18(1): 630. doi: 10.1186/s12879-018-3560-4
    [5]
    JI H, FAN H, LU P X, et al. Surveillance for severe hand, foot, and mouth disease from 2009 to 2015 in Jiangsu province: Epidemiology, etiology, and disease burden[J]. BMC Infect Dis, 2019, 19(1): 79. doi: 10.1186/s12879-018-3659-7
    [6]
    QIU J, YAN H, CHENG N, et al. The clinical and epidemiological study of children with hand, foot, and mouth disease in Hunan, China from 2013 to 2017[J]. Sci Rep, 2019, 9(1): 11662. doi: 10.1038/s41598-019-48259-1
    [7]
    初阳. 天津市某地区手足口病流行病学特征及影响因素研究[D]. 天津: 天津医科大学, 2018.

    CHU Y. Epidemiological characteristics and influencing factors of hand, foot and mouth disease in a region of Tianjin[D]. Tianjin: Tianjin Medical University, 2018.
    [8]
    张龙, 冀慧方, 高雷. 上海市嘉定区2011—2018年手足口病流行病学分析[J]. 上海医药, 2019, 40(20): 54-56. doi: 10.3969/j.issn.1006-1533.2019.20.018

    ZHANG L, JI H F, GAO L. Epidemiological analysis of hand, foot and mouth disease in Jiading District of Shanghai from 2011 to 2018[J]. Shanghai Medical and Pharmaceutical Journal, 2019, 40(20): 54-56. doi: 10.3969/j.issn.1006-1533.2019.20.018
    [9]
    张珺茹, 蔡源益, 王爱, 等. 2014年至2016年全国手足口病发病季节高峰的圆形分布分析[J]. 中国医科大学学报, 2017, 46(6): 524-526, 531. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK201706010.htm

    ZHANG J R, CAI Y Y, Wang A, et al. Circular distribution analysis of seasonal peak of hand, foot and mouth disease in China from 2014 to 2016 [J]. Journal of China Medical University, 2017, 46(6): 524-526, 531. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK201706010.htm
    [10]
    韩裕乐, 王梅君. 上海市浦东新区手足口病发病特征与气象因素的关联[J]. 上海预防医学, 2018, 30(1): 55-58. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201801018.htm

    HAN Y L, WANG M J. Association between incidence characteristics of hand, foot and mouth disease and meteorological factors in Pudong New Area of Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(1): 55-58. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201801018.htm
    [11]
    齐特, 黄郁晶, 吉耀华, 等. 2014—2018年沈阳地区手足口病病原分布及流行特征[J]. 中国感染控制杂志, 2020, 19(7): 648-652.

    QI T, HUANG Y J, JI Y H, et al. Etiological distribution and epidemiological characteristics of hand, foot and mouth disease (HFMD) in Shenyang from 2014 to 2018[J]. Chinese Journal of Infection Control, 2020, 19(7): 648-652.
    [12]
    吉连福, 杨恩辉, 单鸣凤, 等. EV71型病毒疫苗接种后住院患儿手足口病流行病学特征及病原学变化[J]. 中国感染控制杂志, 2020, 19(6): 546-552. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ202006012.htm

    JI L F, YANG E H, SHAN M F, et al. Epidemiological characteristics and etiological changes of hand, foot and mouth disease in hospitalized children after EV71 virus vaccination[J]. Chinese Journal of Infection Control, 2020, 19(6): 546-552. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ202006012.htm
    [13]
    张如玉. 郑州市儿童手足口病流行特征及危险因素分析[J]. 深圳中西医结合杂志, 2019, 29(20): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZX201920009.htm

    ZHANG R Y. Epidemiological characteristics and risk factors of hand, foot and mouth disease in children in Zhengzhou[J]. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 2019, 29(20): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZX201920009.htm
    [14]
    任祥欣, 韩雅琳, 贾静. 青岛市2013—2017年手足口病重症病例流行特征及临床特点分析[J]. 中国公共卫生管理, 2019, 35(5): 607-609, 616. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS201905009.htm

    REN X X, HAN Y L, JIA J. Epidemiological and clinical characteristics of severe hand-foot-mouth disease cases in Qingdao from 2013 to 2017[J]. Chinese Journal of Public Health Management, 2019, 35(5): 607-609, 616. https://www.cnki.com.cn/Article/CJFDTOTAL-GGWS201905009.htm
    [15]
    李媛, 张振, 路滟, 等. 2005—2017年深圳市手足口病聚集性疫情流行特征及病原学分析[J]. 热带医学杂志, 2019, 19(5): 660-663. doi: 10.3969/j.issn.1672-3619.2019.05.032

    LI Y, ZHANG Z, LU Y, et al. Epidemiological characteristics and etiological analysis of a cluster of HFMD outbreaks in Shenzhen from 2005 to 2017[J]. Journal of Tropical Medicine, 2019, 19(5): 660-663. doi: 10.3969/j.issn.1672-3619.2019.05.032
    [16]
    李鹏宾, 黄嘉殷, 罗国涵, 等. 2010—2017年佛山市南海区手足口病流行特征及时空聚集性分析[J]. 现代预防医学, 2018, 45(24): 4491-4495. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201824019.htm

    LI P B, HUANG J Y, LUO G H, et al. Epidemiological characteristics and spatial-temporal clustering of hand, foot and mouth disease (HFMD) in Nanhai District, Foshan City from 2010 to 2017[J]. Modern Preventive Medicine, 2018, 45(24): 4491-4495. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201824019.htm
    [17]
    于宏杰, 倪胜男, 钟培松. 上海市嘉定区2007—2016年手足口病流行特征及病原学分析[J]. 上海预防医学, 2018, 30(12): 1005-1008. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201812010.htm

    YU H J, NI S N, ZHONG P S. Epidemiological characteristics and etiological analysis of hand, foot and mouth disease (HFMD) in Jiading District, Shanghai, 2007-2016[J]. Shanghai Journal of Preventive Medicine, 2018, 30(12): 1005-1008. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201812010.htm
    [18]
    王瑾, 彭万胜, 周瑞, 等. 重症手足口病患儿危险因素分析[J]. 中华全科医学, 2021, 19(1): 20-23. doi: 10.16766/j.cnki.issn.1674-4152.001719

    WANG J, PENG W S, ZHOU R, et al. Analysis of risk factors for severe hand-foot-mouth disease in children[J]. Chinese Journal of General Practice, 2021, 19(1): 20-23. doi: 10.16766/j.cnki.issn.1674-4152.001719
    [19]
    李成娟, 赵翠红, 赵利, 等. Logistic回归联合ROC曲线对重症手足口病危险因素的预测价值[J]. 现代医学, 2017, 45(10): 1465-1467. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX201710019.htm

    LI C J, ZHAO C H, ZHAO L, et al. Predictive value of Logistic regression combined with ROC curve for risk factors of severe hand, foot and mouth disease [J]. Modern Medical Journal, 2017, 45(10): 1465-1467. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX201710019.htm
    [20]
    李娟娟, 苏明, 王玉肖. 不同标本及其组合在手足口病诊断中的意义[J]. 实用预防医学, 2014, 21(1): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201401037.htm

    LI J J, SU M, WANG Y X. Different specimens and their combinations in the diagnosis of hand, foot and mouth disease[J]. Practical Preventive Medicine, 2014, 21(1): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201401037.htm
    [21]
    马晓梅, 徐学琴, 闫国立, 等. BP神经网络和决策树分析在重症手足口病临床早期预警指标中的应用[J]. 中国卫生统计, 2019, 36(3): 381-383. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201903016.htm

    MA X M, XU X Q, YAN G L, et al. Application of BP neural network and decision tree analysis in clinical early warning indicators of severe hand, foot and mouth disease[J]. Chinese Journal of Health Statistics, 2019, 36(3): 381-383. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201903016.htm
    [22]
    瞿色华, 周瑞. 重组人干扰素α2b治疗重型早期手足口病疗效观察[J]. 中华全科医学, 2017, 15(12): 2053-2055. doi: 10.16766/j.cnki.issn.1674-4152.2017.12.014

    QU S H, ZHOU R. Efficacy of recombinant human interferon α2b in treatment of severe early hand-foot-mouth disease[J]. Chinese Journal of General Practice, 2017, 15(12): 2053-2055. doi: 10.16766/j.cnki.issn.1674-4152.2017.12.014
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