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Kawasaki disease in Mongolia: results from 2 nationwide retrospective surveys, 1996-2008.
- Source :
-
Journal of epidemiology [J Epidemiol] 2011; Vol. 21 (4), pp. 293-8. Date of Electronic Publication: 2011 Jun 18. - Publication Year :
- 2011
-
Abstract
- Background: Kawasaki disease (KD) has been reported in many countries. However, the incidence of KD in Mongolia is not known. This is the first report of incident cases of KD in Mongolia, which were identified using data from 2 nationwide surveys.<br />Methods: Two nationwide retrospective surveys were conducted: medical histories were collected from patients aged 0 to 16 years who were hospitalized countrywide between 1996 and 2008. Hospital records for these patients were also reviewed. Nationwide training seminars on KD were conducted before each survey.<br />Results: For the nationwide surveys, the participation rates among all hospitals with pediatric wards were 97% and 94%. Inpatient medical histories from 1996 through 2008 were reviewed, and, among children younger than 16 years, 9 patients with KD were investigated. The age of KD patients ranged from 1.4 to 14 years; 7 of 9 patients were male. Six (67%) patients fulfilled all 6 clinical diagnostic criteria; the other 3 (33%) were defined as having KD based on the presence of 5 such criteria. Fever persisting 5 or more days, bilateral conjunctival congestion, and changes of the lips and oral cavity were the most common symptoms, and cervical lymphadenopathy was the least common symptom. Cardiac sequelae developed in 5 of the patients, 4 of whom were older than 10 years.<br />Conclusions: The results of these nationwide surveys reveal that KD cases do exist in Mongolia. However, knowledge of KD among Mongolian pediatricians is likely to be poor. Thus, there is a need to augment their understanding to improve management of KD patients. Further studies are crucial to clarify the epidemiologic characteristics of KD in Mongolia.
- Subjects :
- Adolescent
Anti-Inflammatory Agents, Non-Steroidal therapeutic use
Aspirin therapeutic use
Child
Child, Preschool
Clinical Competence
Female
Health Surveys
Hospitals, Pediatric
Humans
Immunoglobulins, Intravenous therapeutic use
Immunologic Factors therapeutic use
Incidence
Infant
Male
Mongolia epidemiology
Mucocutaneous Lymph Node Syndrome diagnosis
Mucocutaneous Lymph Node Syndrome drug therapy
Retrospective Studies
Risk Assessment
Surveys and Questionnaires
Mucocutaneous Lymph Node Syndrome epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1349-9092
- Volume :
- 21
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 21691035
- Full Text :
- https://doi.org/10.2188/jea.je20100144