Abstract
BACKGROUND: Gingivostomatitis is the presence of oral mucosa and gingiva ulcerative lesions. Usually self-limiting and heals within two weeks the commonest caused is by bacteria or virus. Gingivotomatitis in a boarding school suggested primary herpetic gingivostomatitis. Other possible causes of an outbreak in an institution are varicella-zoster virus infection and hand-foot-and-mouth disease. Spread by close physical contact 90% of gingivostomatitis are caused by herpes simplex virus type I. Objectives: The objective of the study was to describe epidemiological and control the gingivostomatits outbreak. METHODS: Descriptive study was conducted together with laboratory testing and an environmental survey to investigate the outbreak and institute necessary control measures. RESULTS: A total of 15 cases was identified. The attack rate was 42.9%. Students aged 10 years to 15 years old presented with mouth ulcer (100%), sore throat (53.3%) and headache (40%). The first onset occurred on the 5.2.2019 and the last onset was on the 14.2.2019. Throat swab and mouth ulcer scrapping failed to isolate any virus. Environmental investigation was satisfactory. Conclusion: Close contact from the index case and the practice of sharing food utensils was noted to be the source of the outbreak. Student recovered by symptomatic treatment and personal hygiene was stressed upon. Earlier laboratory sample to be taken upon symptom appears for an accurate result.
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@proceedings{APCPH-2019-179,
title = {Gingivostomatitis Outbreak in A Religious Teaching Institution Seberang Perai Utara.},
author = {Chiew WL and Sadesh J and Azirah S},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {BACKGROUND: Gingivostomatitis is the presence of oral mucosa and gingiva ulcerative lesions. Usually self-limiting and heals within two weeks the commonest caused is by bacteria or virus. Gingivotomatitis in a boarding school suggested primary herpetic gingivostomatitis. Other possible causes of an outbreak in an institution are varicella-zoster virus infection and hand-foot-and-mouth disease. Spread by close physical contact 90% of gingivostomatitis are caused by herpes simplex virus type I. Objectives: The objective of the study was to describe epidemiological and control the gingivostomatits outbreak. METHODS: Descriptive study was conducted together with laboratory testing and an environmental survey to investigate the outbreak and institute necessary control measures. RESULTS: A total of 15 cases was identified. The attack rate was 42.9%. Students aged 10 years to 15 years old presented with mouth ulcer (100%), sore throat (53.3%) and headache (40%). The first onset occurred on the 5.2.2019 and the last onset was on the 14.2.2019. Throat swab and mouth ulcer scrapping failed to isolate any virus. Environmental investigation was satisfactory. Conclusion: Close contact from the index case and the practice of sharing food utensils was noted to be the source of the outbreak. Student recovered by symptomatic treatment and personal hygiene was stressed upon. Earlier laboratory sample to be taken upon symptom appears for an accurate result.},
note = {Type: POSTER PRESENTATION; Organisation: District Health Office Seberang Perai Utara},
keywords = {gingivostomatitis, herpes simplex, oral ulcer},
pubstate = {published},
tppubtype = {proceedings}
}