A Systematic Review of Epidemiological characteristics, routine laboratory diagnosis, clinical signs and risk factors for hand, foot and mouth disease
Keywords:
Hand, foot and mouth disease (HFMD), viral, infectionAbstract
Background: Hand, foot and mouth disease (HFMD) is a common, mild viral infection that mostly affects children under 5 years of age. The causative agent is typically enterovirus A (EV-A), which includes the serotypes Coxsackievirus A and enterovirus A71, A76, and A89–92; serotypes of enterovirus B are sometimes detected. Methods: This systematic review focused on full-text English literature published between 2014 and 2024 using the PRISMA 2020 guidelines. Editorials and review pieces published in the same journal as the submission without a DOI were not accepted. Result: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: The detection of clinical risk factors and the temporal, spatial and socio-demographic distribution epidemiological characteristics of severe HFMD contribute to the timely diagnosis and intervention, the results of this study can be the reference of further clinical and public health practice.
References
Liu J, Qi J. Prevalence and Management of Severe Hand, Foot, and Mouth Disease in Xiangyang, China, From 2008 to 2013. Front Pediatr. 2020;8(July):1–7.
Wang Y, Zhao H, Ou R, Zhu H, Gan L, Zeng Z, et al. Epidemiological and clinical characteristics of severe hand-foot-and-mouth disease (HFMD) among children: A 6-year population-based study. BMC Public Health. 2020;20(1):1–11.
Zhu P, Ji W, Li D, Li Z, Chen Y, Dai B, et al. Current status of hand-foot-and-mouth disease. J Biomed Sci [Internet]. 2023;30(1):1–23. Available from: https://doi.org/10.1186/s12929-023-00908-4
Zhang B, Wan X, Ouyang FS, Dong YH, Luo DH, Liu J, et al. Machine Learning Algorithms for Risk Prediction of Severe Hand-Foot-Mouth Disease in Children. Sci Rep [Internet]. 2017;7(1):1–8. Available from: http://dx.doi.org/10.1038/s41598-017-05505-8
Li P, Huang Y, Zhu D, Yang S, Hu D. Risk Factors for Severe Hand-Foot-Mouth Disease in China: A Systematic Review and Meta-Analysis. Front Pediatr. 2021;9(November):1–11.
Hoang MT Van, Nguyen TA, Tran TT, Vu TTH, Le NTN, Nguyen THN, et al. Clinical and aetiological study of hand, foot and mouth disease in southern Vietnam, 2013–2015: Inpatients and outpatients. Int J Infect Dis [Internet]. 2019;80:1–9. Available from: https://doi.org/10.1016/j.ijid.2018.12.004
Tikute S, Lavania M. Hand, foot, and mouth disease (HFMD) in India: A review on clinical manifestations, molecular epidemiology, pathogenesis, and prevention. Indian Dermatol Online J [Internet]. 2023;14(4):475. Available from: https://journals.lww.com/10.4103/idoj.idoj_423_22
Kua JA, Pang J. The epidemiological risk factors of hand, foot, mouth disease among children in Singapore: A retrospective case-control study. PLoS One [Internet]. 2020;15(8 August):1–28. Available from: http://dx.doi.org/10.1371/journal.pone.0236711
Upala P, Apidechkul T, Suttana W, Aimkosa R. Epidemiology of hand foot mouth disease in Northern Thailand in 2016: A prospective cohort study. Asian Pacific J Trop Dis. 2017;7(6):321–6.
Zheng G, Cao J, Yu J, Zhang Z, Liu Q, Chen J. Risk factors for death in children with critical and severe hand-foot-and-mouth disease in Chongqing, China: An observational study. Med (United States). 2017;96(49):1–5.
Fong SY, Mori D, Rundi C, Yap JF, Jikal M, Latip ALLBA, et al. A five-year retrospective study on the epidemiology of hand, foot and mouth disease in Sabah, Malaysia. Sci Rep [Internet]. 2021;11(1):1–11. Available from: https://doi.org/10.1038/s41598-021-96083-3
Chen G, Huang C, Luo D, Yang J, Shi Y, Li D, et al. Clinical Characteristics and Treatment Overview in Hand-Foot-and-Mouth Disease Using Real-World Evidence Based on Hospital Information System. Evidence-based Complement Altern Med. 2022;2022.
Sun BJ, Chen HJ, Chen Y, An XD, Zhou B Sen. The risk factors of acquiring severe hand, foot, and mouth disease: A meta-analysis. Can J Infect Dis Med Microbiol. 2018;2018.
Rajaseker C, Sharmila PF, Munisamy M, Kandhasamy V, Sundaramurthy R, Dhodapkar R. Clinico virological characterization of hand, foot and mouth disease in a tertiary care hospital, South India. J Glob Infect Dis. 2023;15(1):13–8.
Afonso C, Almeida A. Hand, Foot, and Mouth Disease in Adults. Cureus. 2023;15(11):1–4.
Yi Z, Pei S, Suo W, Wang X, Huang Z, Yi A, et al. Epidemiological characteristics, routine laboratory diagnosis, clinical signs and risk factors for hand, -foot -and -mouth disease: A systematic review and meta-analysis. PLoS One [Internet]. 2022;17(4 April). Available from: http://dx.doi.org/10.1371/journal.pone.0267716
Wang XF, Lu J, Liu XX, Dai T. Epidemiological features of hand, foot and mouth disease outbreaks among Chinese preschool children: A meta-analysis. Iran J Public Health. 2018;47(9):1234–43.
Gonzalez G, Carr MJ, Kobayashi M, Hanaoka N, Fujimoto T. Enterovirus-associated hand-foot and mouth disease and neurological complications in japan and the rest of the world. Int J Mol Sci. 2019;20(20):1–16.
Yin X guang, Yi H xing, Shu J, Wang X ju, Wu X jun, Yu L hua. Clinical and epidemiological characteristics of adult hand, foot, and mouth disease in northern Zhejiang, China, May 2008 - November 2013. BMC Infect Dis. 2014;14(1):1–8.
Chew SP, Chong SL, Barbier S, Matthew A, Lee JH, Chan YH. Risk factors for severe hand foot mouth disease in Singapore: A case control study. BMC Infect Dis [Internet]. 2015;15(1):1–7. Available from: http://dx.doi.org/10.1186/s12879-015-1195-2
Zhang D, Li R, Zhang W, Li G, Ma Z, Chen X, et al. A Case-control Study on Risk Factors for Severe Hand, Foot and Mouth Disease. Sci Rep [Internet]. 2017;7(January):1–7. Available from: http://dx.doi.org/10.1038/srep40282
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