Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study

Introduction: In clinical perspectives, how to distinguish a small proportion of children at risk of developing neurological complications from a large number of children with mild symptoms still remains a challenge for primary care doctors. Methodology: From January 2012 to December 2015, 225 c...

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Main Authors: Chunhua Liu, Kaiyan Wang, Niyang Lin, Jianling Cai, Binglin Cui, Beiyan Wu
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2018-05-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/9845
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author Chunhua Liu
Kaiyan Wang
Niyang Lin
Jianling Cai
Binglin Cui
Beiyan Wu
author_facet Chunhua Liu
Kaiyan Wang
Niyang Lin
Jianling Cai
Binglin Cui
Beiyan Wu
author_sort Chunhua Liu
collection DOAJ
description Introduction: In clinical perspectives, how to distinguish a small proportion of children at risk of developing neurological complications from a large number of children with mild symptoms still remains a challenge for primary care doctors. Methodology: From January 2012 to December 2015, 225 cases with severe hand, foot and mouth disease (HFMD) matched with 492 controls were enrolled in the age-matched, case-control study. Continuous variables were examined by univariate analysis using a chi-squared or Fisher’s exact test, and categorical variables were reported by relative risks (odd’s ratio). Multivariate logistic regression was used to analyze the independent risk factors for severe HFMD. Results: Peak body temperature over 37.5℃,total duration of fever over 3 days, lethargy, enterovirus 71 (EV71) infection were independent risk factors for severe HFMD. Conclusions: Peak body temperature over 37.5℃,total duration of fever over 3 days, lethargy, EV71 infection were independent risk factors for severe HFMD.
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spelling doaj-art-6afcddff440c4f3d952060e23eab8e1d2025-08-20T02:14:20ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802018-05-01120510.3855/jidc.9845Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control studyChunhua Liu0Kaiyan Wang1Niyang Lin2Jianling Cai3Binglin Cui4Beiyan Wu5The First Affiliated Hospital of Shantou University Medical College, Shantou, ChinaShantou University Medical College , Shantou, ChinaThe First Affiliated Hospital of Shantou University Medical College, Shantou, ChinaThe First Affiliated Hospital of Shantou University Medical College, Shantou, ChinaThe First Affiliated Hospital of Shantou University Medical College, Shantou, ChinaThe First Affiliated Hospital of Shantou University Medical College, Shantou, China Introduction: In clinical perspectives, how to distinguish a small proportion of children at risk of developing neurological complications from a large number of children with mild symptoms still remains a challenge for primary care doctors. Methodology: From January 2012 to December 2015, 225 cases with severe hand, foot and mouth disease (HFMD) matched with 492 controls were enrolled in the age-matched, case-control study. Continuous variables were examined by univariate analysis using a chi-squared or Fisher’s exact test, and categorical variables were reported by relative risks (odd’s ratio). Multivariate logistic regression was used to analyze the independent risk factors for severe HFMD. Results: Peak body temperature over 37.5℃,total duration of fever over 3 days, lethargy, enterovirus 71 (EV71) infection were independent risk factors for severe HFMD. Conclusions: Peak body temperature over 37.5℃,total duration of fever over 3 days, lethargy, EV71 infection were independent risk factors for severe HFMD. https://jidc.org/index.php/journal/article/view/9845Hand, foot and mouth diseasechildrenrisk factorenterovirusesdiagnosis
spellingShingle Chunhua Liu
Kaiyan Wang
Niyang Lin
Jianling Cai
Binglin Cui
Beiyan Wu
Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study
Journal of Infection in Developing Countries
Hand, foot and mouth disease
children
risk factor
enteroviruses
diagnosis
title Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study
title_full Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study
title_fullStr Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study
title_full_unstemmed Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study
title_short Risk factors of severe hand, foot and mouth disease in Shantou, China: a case-control study
title_sort risk factors of severe hand foot and mouth disease in shantou china a case control study
topic Hand, foot and mouth disease
children
risk factor
enteroviruses
diagnosis
url https://jidc.org/index.php/journal/article/view/9845
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