MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TÌNH TRẠNG NẶNG CỦA BỆNH TAY CHÂN MIỆNG Ở TRẺ EM TẠI BỆNH VIỆN ĐA KHOA TỈNH NINH THUẬN

Abstract

Background: Hand, foot, and mouth disease is usually mild, lasted less than a week in most cases, characterized by fever, a blister-like rash on the hands and feet, and oral ulcers caused by ruptured blisters in the mouth. However, quite a few patients experience fatal neurological or cardiopulmonary complications, especially in children. Objectives: To identify some factors related to the severity of hand, foot and mouth disease in children treated at Ninh Thuan Provincial General Hospital. Materials and methods: A cross-sectional descriptive study was conducted on 109 pediatric patients aged ≤5 years who were diagnosed with hand, foot, and mouth disease from January to September 2024. Results: The rate of children with severe hand, foot, and mouth disease (grade 2b or higher) accounted for 6.4%. The severity of hand, foot, and mouth disease was statistically significantly associated (p<0.05) with underweight malnutrition, low maternal education, illness duration >3 days, fever ≥39°C, vesicular rash in the mouth, sore throat, limb shaking, EV71 (+), elevated white blood cell count, and increased platelet count. Conclusion: Severe hand, foot, and mouth disease accounted for 6.4% of cases. Associated factors include malnutrition, low maternal education, illness duration >3 days, fever ≥39°C, vesicular rash, sore throat, limb shaking, EV71 (+), elevated white blood cell count, and increased platelet count. Early identification of these factors enables timely intervention and reduces complications.