疱疹性咽峡炎的防控,加拿大国际教育集团微信公众号文章

疱疹性咽峡炎是一种特殊类型的急性上呼吸道感染，是儿童时期的多发病、常见病。症状特点为突然出现的发热、咽痛、流涎、拒食，部分患儿伴有咳嗽或者呕吐、腹痛、腹泻等消化道症状。患儿口腔黏膜可见疱疹，可能累及上腭、扁桃体、咽峡部等。

鉴于该病多发于夏秋季（目前正值高发季），传染性强、传播快，通过接触、飞沫传播，6个月-5岁的儿童普遍易感，特别容易在幼托机构造成流行。亚运城加拿达幼儿园的全体员工召开了紧急会议并制订了“疱疹性咽峡炎”的家庭防控措施，具体如下：

1.鼓励患儿多喝水。

2.遇发热，则可物理降温处理；当体温超过38.5℃时，建议口服退热药物降温，以预防高热惊厥。

3.注意口腔护理。可用清热解毒的中成药喷剂，混合思密达喷于溃疡面，以减轻患儿疼痛，促进溃疡愈合。

4.轻症患儿可口服抗病毒药物、清热化湿的中成药即可。

若持续高热、不能进食的患儿则需要静脉补液支持治疗。合并了细菌感染的患儿，需要合理的抗生素治疗。如患儿精神萎靡、持续高热、抽搐，还需注意重要脏器合并症（心脏、肺、脑损伤），一定要及时到医院就医！

此病预防重于治疗，故平日的日常护理是非常重要的。在这里，需提醒家长们注意以下几点：

1.注意居家环境卫生，勤开窗通风，餐具、玩具定期消毒

2.休息很重要，保证孩子有充足的睡眠，劳逸结合

3.饮食营养、清淡、易消化，多吃蔬菜、水果

4.注意口腔卫生，保持口腔清洁，用淡盐水漱口

5. 注意手卫生，勤洗手

6. 尽量少到人群密集、空气不流通的公共场所

我园保育老师及全体教职工也共同努力，做好防控，不断完善卫生保健工作

及时应对“疱疹性咽峡炎”病毒，每天加强清洁、消毒措施，保证了小朋友的健康成长。

The prevention and control of herpangina

Herpangina is a special type ofacute upper respiratory tract infection which is a common childhood disease .Symptoms often include sudden fever, sore throat, salivation, loss of appetiteand in some cases it is accompanied by coughing or vomiting, abdominal pain,diarrhea and other gastrointestinal symptoms. Children with visible oral herpes,these can be seen particularly on the soft palateof the mouth or tonsillarpillars.

The disease occurs more frequently in summer and autumn and it is highlycontagious. It is spread extremely fast through contact and droplets dischargedfrom the nose and mouth. Children between the ages of 6 months and 5 years are generallymore susceptible and are particularly vulnerable in places such as preschooland kindergartens. In order to prevent and control this disease from spreadingall the employees of the Asian Games Town Canadian Kindergarten held anemergency meeting and to make a proposal of “How to prevent and control herpangina",as follows:

1、encourageall the children to drink plenty of water.

2、Ina case where a child develops a fever we can use physical cooling treatment; howeverwhen temperature is higher than 38.5 degrees it is recommended to administeroral antipyretic cooling drugs to prevent febrile seizures.

If the fever is persistent and the child cannot eat then thechild will need to have intravenous fluid support treatment. Due to thecombination of bacterial infections in children then there is the need forrational antibiotic therapy. Children that develop mental malaise, high feverand convulsions must be admitted to hospital immediately without delay to avoiddamage to the vital organs (heart, lungs, brain injury)

The prevention of herpangina is more important than control, so it’s veryimportant to take care in the daily life. Here, we have some suggestion forparents:

1、Please payattention to home sanitation, keep the window open and clean tableware and toysregularly.

2、Rest is alsovery important, ensure that children get enough sleep.

3、Diet and nutrition,children should eat more fruits and vegetables.

4、Payattention to oral hygiene, keep the mouth clean, use light salt water to rinsetheir mouth after eating,

5、Keep handsclean, wash hands frequently

6、Don’t goto the crowed public place.

All the teachers in our kindergarten are working together to prevent andcontrol the herpangina virus and are constantly working to improve health care.A timely response to the "herpangina virus" is required, strengthingthe cleaning and disinfection measures to every day to ensure the healthy surroudingsfor the children.

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