Hand, foot and mouth disease ev71 positive

Hand, foot and mouth disease ev71 positive

If you are sure that your baby has hand, foot and mouth disease, you must go to the hospital for examination. During the examination, you can view various results under the guidance of the doctor and receive targeted treatment. Babies must avoid going to crowded places, because the baby's body is very weak during this period and may be invaded by external germs and cause other complications. So, what is the matter with the hand, foot and mouth ev71 positive?

1. Inspection

Routine examination: peripheral blood leukocyte count decreased or normal; urine and stool are generally normal. Throat swabs or stool specimens can be sent to the laboratory for virus testing, but virus testing takes 2 to 4 weeks to produce results.

2. Diagnosis

According to clinical symptoms and signs, during large-scale epidemics, the typical rash distribution characteristics are especially in the oral cavity, hands and feet. The diagnosis is not difficult.

Treatment

1. General treatment

If there are no complications, the prognosis of this disease is generally good and most patients recover within a week. Mainly for symptomatic treatment.

(1) First, isolate the sick child, and those in contact should be disinfected and isolated to avoid cross infection.

(2) Provide symptomatic treatment and maintain good oral care.

(3) Clothes and bedding should be clean, comfortable, soft, and changed frequently.

(4) Cut your baby’s nails short and wrap your baby’s hands if necessary to prevent scratching the rash.

(5) For babies with rashes on their buttocks, their urine and feces should be cleaned up at all times and their buttocks should be kept clean and dry.

(6) You can take antiviral drugs and Chinese herbal medicines that clear heat and detoxify, and supplement vitamins B and C.

2. Combined treatment

(1) Closely monitor changes in the patient's condition, especially the functions of important organs such as the brain, lungs, and heart; for critically ill patients, pay special attention to monitoring blood pressure, blood gas analysis, blood sugar, and chest X-rays.

(2) Pay attention to maintaining the balance of water, electrolytes, acid and alkali and protecting important organs.

(3) Patients with increased intracranial pressure should be given appropriate treatment.

(4) Patients with signs of respiratory failure such as hypoxemia and dyspnea should receive mechanical ventilation as soon as possible.

(5) Maintain stable blood pressure.

Treatment of other severe conditions: If DIC, pulmonary edema, heart failure, etc. occur, appropriate treatment should be given.

3. Antiviral drugs

Because antiviral drugs are generally best used 24 to 48 hours before onset of illness. Often when we diagnose hand, foot and mouth disease, the most effective treatment stage has passed, and the use of antiviral drugs is not recommended now.

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