現在已進入腸病毒流行季節，民眾應落實良好個人衛生習慣，返家後先更衣及以肥皂正確洗手再摟抱或餵食嬰幼兒，同時留意嬰幼童重症前兆病徵，並遵守「生病不上課（班）」原則，以降低病毒傳播。衛福部疾管署今日表示，國內新增1例新生兒感染伊科11型腸病毒併發重症死亡病例，疾管署再次呼籲，嬰幼兒照顧者應落實手部衛生，有症狀者應避免接觸嬰幼兒，一旦發現嬰幼兒有疑似症狀，應儘速帶至醫療院所接受診治。
疾管署表示，新增腸病毒個案為東部新生男嬰，出生9天後因發燒轉入新生兒加護病房，並陸續出現心跳加速、活動力下降、四肢肌張力弱等情形，雖醫院及時給予治療，個案仍不幸於發病1週後因多重器官衰竭及新生兒敗血症死亡；經檢驗審查確認為伊科病毒11型感染併發重症。經衛生單位調查，個案出生後均待在醫院，該醫院之前並無其他疑似腸病毒病例，個案父母及醫護人員等接觸者亦無疑似症狀，不排除該個案是遭無症狀者傳染。
據疾管署統計，上週國內腸病毒門急診就診人次共11510人次，較前一週下降8.5％，但疾管署表示上週逢端午連續假期，就診人次可能受醫療院所休診影響，若以急診就診病例千分比來看，則與前一週呈持平。
據疾管署統計資料顯示，今年累計16例腸病毒併發重症病例（含3例死亡），其中7例為新生兒。重症病例感染型別分別為伊科病毒11型6例，克沙奇A4型、克沙奇B1型及腸病毒71型各2例，克沙奇A9型、克沙奇A16型、克沙奇B2型及克沙奇B3型各1例。近四週社區檢出腸病毒型別以伊科病毒11型為多；另今年已出現29例腸病毒71型散發個案，顯示社區中持續有腸病毒71型活動。
疾管署指出，新生兒可能藉由產前、生產過程或出生後的人際接觸等途徑感染腸病毒，一般於出生後1至14天發病，感染症狀從發燒、活力不佳、食慾降低等輕症，到腦炎、肺炎、多重器官衰竭等重症都有可能發生。提醒準媽媽產前14天至分娩後如有發燒、咳嗽、喉嚨痛、腹瀉、肋肌痛等症狀，應主動告知醫師；家中成人或幼兒等接觸者應落實以肥皂勤洗手，如有身體不適，應避免接觸新生兒，以降低病毒傳播風險。
此外，疾管署也籲請醫院、產後護理機構應加強感染管制措施，教托育機構或其他兒童常出入的公共場所業者等也應注意環境通風及定期清潔消毒，確保嬰幼兒免於腸病毒威脅。
Now that the enterovirus season has passed, people should implement good personal hygiene habits. After returning home, they should change their clothes and wash their hands with soap and then cuddle or feed the infants. At the same time, they should pay attention to the symptoms of severe premature infants and children. ) principle to reduce the spread of the virus. The Department of Health and Welfare of the Department of Health and Welfare said today that a new case of neonatal infection with Enterovirus type 11 enterovirus was reported in China. The Department of Diseases again called for infants and young children to implement hand hygiene. Those with symptoms should avoid contact with infants. Young children, once found in infants and young children with suspected symptoms, should be taken to the hospital for treatment as soon as possible.
The Department of Disease Control said that the new case of enterovirus was a newborn male infant in the east. After 9 days of birth, it was transferred to the neonatal intensive care unit due to fever. The heartbeat accelerated, the activity decreased, and the muscles of the extremities were weak. Treatment, the case is still unfortunately died of multiple organ failure and neonatal sepsis after 1 week of onset; it was confirmed by the examination to be a serious infection of the type I virus. After investigation by the health unit, the case was left in the hospital after birth. There were no other suspected cases of enterovirus before the hospital. Case contacts such as parents and medical staff were undoubtedly symptoms. It was not excluded that the case was infected by asymptomatic patients.
According to the statistics of the Department of Disease Control, there were a total of 11,510 person-time visits to the domestic enterovirus emergency department last week, a decrease of 8.5% from the previous week. However, the Department of Disease Control said that last week's consecutive holidays during the Dragon Boat Festival, the number of visits may be affected by the medical clinics. The number of cases in the emergency department was similar to that of the previous week.
According to the statistics of the UNDCP, this year, 16 cases of severe enteroviruses (including 3 deaths) were cumulative, of which 7 were newborns. In severe cases, the infection types were 6 cases of Iko virus type 11, 6 cases of Keshaqi A4 type, Keshaqi B1 type and Enterovirus 71 type, Keshaqi A9 type, Keshaqi A16 type, Keshaqi. 1 case of B2 type and Keshaqi B3 type. In the past four weeks, the number of enteroviruses detected by the community was more than that of the Iko virus type 11; another 29 cases of EV71 were reported this year, indicating that there is a continuous EV71 activity in the community.
According to the Department of Diseases, newborns may be infected with enteroviruses through prenatal, post-natal or post-natal contact, usually from 1 to 14 days after birth. The symptoms of infection are from fever, poor vitality and loss of appetite. Symptoms, such as encephalitis, pneumonia, multiple organ failure and other serious diseases can occur. Remind expectant mothers to have symptoms such as fever, cough, sore throat, diarrhea, rib pain, etc. 14 days before delivery, and should inform the doctor on their own initiative; contact persons such as adults or children in the home should wash their hands with soap and have physical discomfort. Avoid contact with newborns to reduce the risk of viral transmission.
In addition, the CDC also urges hospitals and post-natal care institutions to strengthen infection control measures. Parents of public places that are often visited by childcare institutions or other children should also pay attention to environmental ventilation and regular cleaning and disinfection to ensure that infants and young children are protected from enterovirus threats. .
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