Key result
Among 297 cases of hand, foot, and mouth disease, fever was the most common symptom (86%), rashes were predominantly in the mouth (97%) and on hands (96%), and pneumonitis was the most common complication (5%).
Why the study?
The study was conducted to evaluate the trend of hand-foot-mouth disease in a private hospital in Uttarakhand over 5 successive years.
Cross-Sectional (n=297)
No
The incidence of HFMD is increasing in this Indian cohort, emphasizing the need for clinical awareness of its typical presentations and potential complications to reduce morbidity.
HFMD trends in Uttarakhand remain sparsely documented; leaves open the need for prospective surveillance before informing pediatric practice.
Background: The hand-foot-mouth disease (HFMD) is an acute communicable disease, mostly affecting children under 5 years of age and caused by human enterovirus 71 (EV-A71) and coxsackievirus A16 (CV-A16). The usual incubation period is 3 to 7 days. Early symptoms are likely to be fever often followed by a sore throat followed by loss of appetite and general malaise. Aim and objectives was to study the trend of hand foot and mouth disease in a private hospital in Uttarakhand over 5 successive years.Methods: This cross-sectional study was carried among 297 cases of HFMD newborn screened at pediatrics department of Sahota Super-specialty hospital, Kashipur, Uttarakhand during year 2015 to 2019 after ethical clearance of institutional ethical committee. Diagnosis is coded with ICD-10. SPSS version 20 was used to calculate frequencies and percentiles.Results: Almost 29 cases of HMFD were picked in 2015, 32 cases in 2016, 43 cases in 2017, 81 cases in 2018, 112 in 2019. Fever observed in 86% cases. Neurological complications were observed in 9 (3%) cases, pneumonitis in 14 (4.7%) cases, cardiomyopathy observed in 3 (<1%) case. One death was reported.Conclusions: It is vital to screen patients with HFMD for these abnormal clinical presentations, allowing timely initiation of appropriate interventions to reduce the mortality. Increased awareness about vaccination in a developing nation like India and vaccination program at the grass root levels have eradicated certain lethal diseases.
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Sahota et al. (2020) conducted a cross-sectional in Hand, foot, and mouth disease (HFMD) (n=297). Hand, foot, and mouth disease (HFMD) was evaluated on Clinical presentation and complications. Among 297 cases of hand, foot, and mouth disease, fever was the most common symptom (86%), rashes were predominantly in the mouth (97%) and on hands (96%), and pneumonitis was the most common complication (5%).
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