TAILIEUCHUNG - Scientific Committee on Enteric Infections and Foodborne Diseases

Health is at the heart of human progress. It determines whether parents can work to support their families, children can attend school, women can survive childbirth, and infants can grow and thrive. Where health services are strong and accessible, families and communities flourish. Where health services are inaccessible, weak, or nonexistent, families suffer, adults die prematurely, and communities unravel. The Obama Administration has embraced global health as a core feature of its national security, diplomacy, and development work around the world. On September 22, 2010, President Obama signed a Presidential Policy Directive on Global Development, the first of its kind by. | Centre for Health Protection Scientific Committee on Enteric Infections and Foodborne Diseases Management of Hand Foot Mouth Disease HFMD in Health Care Settings 1. Introduction . HFMD is usually a mild disease and can often be managed in outpatient setting. However some patients especially those cases associated with EV71 infection may suffer from rapid deterioration. Awareness among clinicians is essential for timely diagnosis and treatment. . This guideline has been developed by the Centre for Health Protection CHP based on The Fact Sheet on Enteroviral Infection for Hospitals issued by Hospital Authority Central Committee on Infectious Diseases in June 2004 with incorporation of epidemiology information and advice on management in primary care settings. Special emphasis has been placed on indications for laboratory studies referral for hospital admission and infection control measures. This guideline has been reviewed by the Scientific Committees of Enteric Infection and Foodborne Diseases and Infection Control of CHP. 2. IFFWWato tASWWIIW The Centre for Health Protection is a professional arm of the Department of Health for disease prevention and control The Clinical Syndrome . HFMD is a common childhood infectious disease in Hong Kong. Common signs and symptoms are fever sorethroat and skin rash. In most cases the illness is self-limiting. The rash usually appears over fingers and palms feet including soles and other parts of the body such as buttocks and thighs. Vesicles can also be found in the oral cavity especially on the tongue and soft palate. Fever may persist for 4 to 5 days. In most cases the fever rash and ulcers subside spontaneously in one week and full recovery is usual. Complications are uncommon. Rarely this illness may be associated with meningitis. . HFMD caused by EV71 infection may be complicated by myocarditis encephalitis or poliomyelitis-like paralysis. 3. Epidemiology . HFMD is mainly transmitted by the faecal-oral route

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