NGHIÊN CỨU CÁC YẾU TỐ LIÊN QUAN ĐẾN TIÊN LƯỢNG NẶNG BỆNH TAY CHÂN MIỆNG Ở TRẺ EM TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI BỆNH VIỆN CHUYÊN KHOA SẢN NHI TỈNH SÓC TRĂNG NĂM 2024-2025

Abstract

Background: Hand, foot and mouth disease is one of the acute infectious diseases. The disease can progress severely and cause dangerous complications that can lead to death if not detected early and treated promptly. Objective: To describe clinical and paraclinical characteristics and to determine some severe prognostic factors in children with hand, foot and mouth disease in children from 2 months to 5 years old at Soc Trang Province's Obstetrics and Pediatrics Hospital in 2024-2025. Methods: Cross-sectional descriptive study on 173 patients hospitalized for treatment of hand and foot diseases at Soc Trang Province's Obstetrics and Pediatrics Hospital. Results: Common symptoms included mouth pain (87.3%), crying (86.7%), mouth ulcers (83.8%), Severe symptoms such as rapid breathing (12.1%), abnormal breathing (6.9%), seizures (11.6%) and mental disorders (0.6%). 16.8% had leukocytosis, 31.2% had increased CRP The rate of severe hand, foot and mouth disease is 6.4%. Some related factors: children showed symptoms of cyanosis, vomiting, increased white blood cell and are positive for EV 71. Conclusion: Attention should be paid to children with clinical signs of vomiting, cyanosis and increased white blood cell count. These are warning signs that the child is at risk of severe progression. Children who test positive for the EV71 strain often have more severe progression than those with other strains. Therefore, it is necessary to perform tests to detect the virus if possible and necessary.