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September 11, 2022Iranian Journal of Public HealthOpen Access

Epidemiological Characteristics of Hand, Foot and Mouth Disease Reinfection in Guangzhou, Southern China from 2012 to 2017

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Key result

Children aged 1 year or younger had a significantly higher risk of hand, foot and mouth disease reinfection compared to 5-year-old children (OR 20.65).

Why the study?

Hand, foot and mouth disease (HFMD) reinfection is common due to limited cross-protection between enterovirus strains, but its epidemiological characteristics and influential factors needed investigation.

Population

369,054 HFMD patients aged ≤5 yr in Guangzhou, China

Comparison

Patients with HFMD reinfection vs single infection

Design

Surveillance system-based observational study

Authors

XZXuan ZhongHunan UniversityHWHui WangBGI Group (China)CCChun ChenSun Yat-sen University

Discussion

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Implication

May warrant intensified hygiene counseling for infants after first HFMD; leaves open whether targeted interventions can reduce this observational risk.

Study Design

Type

Observational (n=369,054)

Structured PICO

P
Population
369,054 children aged 5 years or younger with hand, foot and mouth disease in Guangzhou, China, were analyzed using surveillance data from 2012 to 2017 to determine reinfection rates and risk factors.
O
Outcome
HFMD reinfection rate and associated risk factors

Main Result

Odds Ratio: 20.65 (95% CI 14.46–29.48)

Absolute Event Rate: 3.86% vs 0.19%

p-value: p=<0.001

HFMD reinfection occurs in approximately 3% of cases among children under 5, with highest risks in infants, males, and rural residents, highlighting the need for targeted prevention strategies.

Limitations

  • Failed to completely collect information on influential factors such as hygiene and social contacts
  • Results from Guangzhou may not be representative enough to be extended to other regions
  • Failed to collect information on hygiene and social contacts completely
  • Results are not representative enough to be extended to other regions

Cite This Study

Zhong et al. (2022) conducted an observational in Hand, Foot and Mouth Disease (HFMD) (n=369,054). Age ≤1 year vs. Age 5 years was evaluated on HFMD reinfection (OR 20.65, 95% CI 14.46-29.48, p=<0.001). Children aged 1 year or younger had a significantly higher risk of hand, foot and mouth disease reinfection compared to 5-year-old children (OR 20.65).

synapsesocial.com/papers/6a7ef0da1e6c106288f00982https://doi.org/10.18502/ijph.v51i9.10563
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epidemiology of Recurrent Hand, Foot and Mouth Disease, China, 2008–20152018 · 170 citations
  2. 2Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease2016 · 34 citations
  3. 3Epidemiological characteristics of hand, foot, and mouth disease in Shandong, China, 2009–20162017 · 78 citations
  4. 4Spatial-Temporal Clusters and Risk Factors of Hand, Foot, and Mouth Disease at the District Level in Guangdong Province, China2013 · 141 citations
  5. 5Prevalence of Multiple Enteroviruses Associated with Hand, Foot, and Mouth Disease in Shijiazhuang City, Hebei Province, China: Outbreaks of Coxsackieviruses A10 and B32014 · 87 citations