Enterovirus 71 in Taiwan
Journal
Pediatrics and Neonatology
Journal Volume
49
Journal Issue
4
Pages
103-112
Date Issued
2008
Author(s)
Abstract
The enterovirus 71 (EV71) outbreak in Taiwan in 1998 proved fatal in many children. A seroepidemiological study performed prior to the 1998 outbreak showed pre-epidemic (1997) EV71 seroprevalence rates to be about 60-70% in adults and children older than 6 years of age. A retrospective case review carried out from 1980-81 identified 16 cases of hand, foot and mouth disease associated with central nervous system involvement, two of whom died soon after hospitalization. There were 405 severe cases and 78 deaths reported in the 1998 epidemic, and dozens of fatal EV71 cases were still reported from 2000 to 2002. A stage-based management strategy was developed to reduce fatality, but most survivors of brainstem encephalitis with cardio pulmonary failure have neurologic sequelae and impaired cognition. Continuous clinical and laboratory surveillance of EV71 disease is required to enable earlier implementation of control and prevention measures. Development of EV71-specific antiviral therapy, a novel class of imidazolidinones, and development of a vaccine are ongoing. ? 2008 Taiwan Pediatric Association.
Subjects
antiviral drug; enterovirus 71; foot and mouth disease; hand; management; population surveillance; Taiwan; transmission; vaccine
SDGs
Other Subjects
adrenalin; bpr 0z 194; DNA vaccine; dopamine; furosemide; imidazole derivative; immunoglobulin; inotropic agent; milrinone; osmotic diuretic agent; phosphodiesterase inhibitor; pleconaril; pyrazolo(3,4 dextro)pyrimidine derivative; pyridyl imidazolidinone derivative; unclassified drug; virus vaccine; antiviral therapy; cardiopulmonary insufficiency; central nervous system infection; clinical feature; cognitive defect; convalescence; drug blood level; drug cerebrospinal fluid level; Enterovirus 71; epidemic; hand foot and mouth disease; high frequency ventilation; human; hypertension; hypotension; hypoxemia; infection control; infection prevention; intracranial hypertension; lung edema; lung hemorrhage; mortality; nonhuman; Picornavirus infection; positive end expiratory pressure; review; seroconversion; seroepidemiology; seroprevalence; Taiwan; viral respiratory tract infection; virus encephalitis; virus shedding; virus transmission; Adult; Child; Enterovirus A, Human; Enterovirus Infections; Humans; Taiwan
Type
review