Skin care, bathing baby when hand, foot and mouth disease

This is an automatically translated article.

The article was professionally consulted with Master, Doctor Truong Thanh Tam - Pediatrician at the Department of Pediatrics - Neonatology - Vinmec Danang International General Hospital.

1. Overview of hand, foot and mouth disease in infants and young children

Hand - foot - mouth occurs almost all year round in tropical countries, including Vietnam. The disease can occur at any age but is most common in infants and children younger than 4 years old. Although this disease is no stranger to parents in our country, so far, diagnostic testing is still very complicated and expensive, easy to be confused with other conditions. . Therefore, the appearance of blisters in all 3 positions of the hands, feet and mouth is an important clinical sign to help rule out other diseases, thereby diagnosing and directing treatment and care for children with this condition. right hand foot mouth.

The transmission routes of hand, foot and mouth disease in infants and young children include:
Direct fecal-oral; Indirectly through water, food or dirty hands; Spread through the respiratory tract (in rare cases). The earliest symptoms of the disease are usually low-grade fever, loss of appetite, and fatigue. Over the next 1-2 days, the child will develop a pink rash that is above normal skin, which gradually turns into a blister. Injuries to the oral mucosa, including the tongue and gums, take the form of sores that cause pain when swallowing and are easily confused with common canker sores (soreness / canker sores). Skin blisters often appear on the palms and forearms, as well as the soles of the feet and legs. Hand, foot and mouth in infants can also develop a papule rash on the buttocks, where diapers are worn. In the acute and progressive stages, patients sometimes experience additional symptoms.

2. Taking care of children with hand, foot and mouth disease

Because there is currently no specific medicine to treat hand, foot and mouth disease, to reduce the risk of skin-mucous infections, parents need to pay attention to maintaining body hygiene for sick children. How to take care of a child with hand, foot and mouth disease specifically:
Let the child gargle with salt water every day; Bathe the baby when he has hand, foot and mouth disease with warm water, wash the child's body gently, avoid breaking the water ball or scratching the skin; Change into fresh, clean clothes every day after bathing; Keep fingernails short, or give gloves to young children, to limit skin damage from scratching; Develop a diet full of nutrients and according to children's needs; Add plenty of fluids for the child's body, including cooled boiled water, fresh fruit juice, broth, porridge, etc. Around the issue of “Should the baby be bathed when he has hand, foot and mouth disease? ?”, doctors have confirmed that abstaining from wind, avoiding light and not bathing babies when they have hand, foot and mouth disease are misconceptions. Besides, parents should also pay attention not to burst the water balloon as well as apply the leaves according to oral folklore, ... to limit the very dangerous skin infection (superinfection).

3. Prevention of hand, foot and mouth complications in infants

Along with taking care of children with hand, foot and mouth disease properly as instructed, parents also need to closely monitor the developments of skin-mucous lesions, as well as the general condition of the child. It is necessary to take the child to the hospital immediately for treatment of serious complications when the following signs are present:
High fever that does not go down; severe headache; Vomiting a lot; Drowsiness, fatigue; Startled with; Convulsions. With proper treatment, children with hand, foot and mouth disease will recover within a week without any complications. Initially the blisters will be clear, after healing time, there will be no scars. But if not treated properly, the disease turns to the stage of superinfection, the blister will have cloudy fluid. Severe disease will lead to very serious complications, such as:
Sepsis ; Inflammation of the brain and meninges; Myocarditis. In particular, complications related to the brain have a high risk of causing death of the patient and leaving long-term sequelae affecting the child's later life.
Although it has been determined that the cause of hand, foot and mouth disease is caused by an intestinal virus, there is still no specific treatment as well as a vaccine against hand, foot and mouth disease in infants and children. small. Therefore, the community needs to join hands to prevent disease by improving the quality of the living environment, ensuring "cooked food and drinking" and maintaining personal hygiene, especially before eating and after defecation. For cases of illness, it is necessary to take care of children with hand, foot and mouth disease properly, pay special attention to avoid further injury to scalds on the mucous membranes and bathe the baby with hand, foot and mouth disease daily with warm water to limit the risk of infection. infection control.
As a key area of ​​Vinmec Health System, Pediatrics Department is well-invested in personnel, technology, and equipment, bringing satisfaction to customers.
Top team of pediatric experts: Experienced professors, associate professors, doctors, and masters, who have worked at major hospitals across the country, are well-trained at home and abroad; understand child psychology. Comprehensive services: Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to adulthood. Advanced techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, hematopoietic stem cell transplantation in cancer treatment ,.... Professional care: Understanding children's psychology, building a play space for children, helping them feel comfortable and familiar with the hospital's environment, cooperating in treatment, improving effectiveness of medical treatment.
If you have unusual symptoms, you should be examined and consulted with a specialist.

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