Risk Factors for Critical Disease and Death from Hand, Foot and Mouth Disease

There has been a high mortality and morbidity rate of critical and fatal patients from hand, foot and mouth disease (HFMD) in China in recent. Causes for development of critical and fatal disease remain unclear. We performed a case-control study to assess the association between use of drugs and dev...

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Veröffentlicht in:The Pediatric infectious disease journal 2014-09, Vol.33 (9), p.966-970
Hauptverfasser: YILIN HE, JIANGUO YANG, GUANG ZENG, TAO SHEN, FONTAINE, Robert E, LIJIE ZHANG, GUOQING SHI, YULIN WANG, QIN LI, JIANG LONG
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container_end_page 970
container_issue 9
container_start_page 966
container_title The Pediatric infectious disease journal
container_volume 33
creator YILIN HE
JIANGUO YANG
GUANG ZENG
TAO SHEN
FONTAINE, Robert E
LIJIE ZHANG
GUOQING SHI
YULIN WANG
QIN LI
JIANG LONG
description There has been a high mortality and morbidity rate of critical and fatal patients from hand, foot and mouth disease (HFMD) in China in recent. Causes for development of critical and fatal disease remain unclear. We performed a case-control study to assess the association between use of drugs and development of critical disease and death from HFMD. We found that glucocorticoids treatment was associated with a greater incidence of severe HFMD, whereas andrographolides treatment was associated with a protective effect when they are used for treatment within 48 hours after onset or before being diagnosed as critical. We recommend that glucocorticoids should not be used for mild HFMD and andrographolides should undergo clinical trials for treatment of enterovirus 71 infections.
doi_str_mv 10.1097/INF.0000000000000319
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subjects Animal viral diseases
Antiviral Agents - therapeutic use
Biological and medical sciences
Case-Control Studies
Child
Child, Preschool
China - epidemiology
Critical Illness
Diterpenes - therapeutic use
Female
Glucocorticoids - administration & dosage
Glucocorticoids - adverse effects
Hand, Foot and Mouth Disease - drug therapy
Hand, Foot and Mouth Disease - mortality
Humans
Infant
Infectious diseases
Male
Medical sciences
Risk Factors
Severity of Illness Index
Time Factors
Viral diseases
title Risk Factors for Critical Disease and Death from Hand, Foot and Mouth Disease
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