Chinese guidelines for the diagnosis and treatment of hand, foot and mouth disease (2018 edition)
World Journal of Pediatrics, ISSN: 1867-0687, Vol: 14, Issue: 5, Page: 437-447
2018
- 126Citations
- 107Captures
- 1Mentions
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations126
- Citation Indexes126
- 126
- CrossRef19
- Captures107
- Readers107
- 107
- Mentions1
- References1
- Wikipedia1
Review Description
Background: Hand, foot, and mouth disease (HFMD) is a common infectious disease in childhood caused by an enterovirus (EV), and which is principally seen in children under 5 years of age. To promote diagnostic awareness and effective treatments, to further standardize and strengthen the clinical management and to reduce the mortality of HFMD, the guidelines for diagnosis and treatment have been developed. Methods: National Health Commission of China assembled an expert committee for a revision of the guidelines. The committee included 33 members who are specialized in diagnosis and treatment of HFMD. Results: Early recognition of severe cases is utmost important in diagnosis and treatment of patients with HFMD. The key to diagnosis and treatment of severe cases lies in the timely and accurate recognition of stages 2 and 3 of HFMD, in order to stop progression to stage 4. Clinicians should particularly pay attention to those EV-A71 cases in children aged less than 3 years, and those with disease duration less than 3 days. The following indicators should alert the clinician of possible deterioration and impending critical disease: (1) persistent hyperthermia; (2) involvement of nervous system; (3) worsening respiratory rate and rhythm; (4) circulatory dysfunction; (5) elevated peripheral WBC count; (6) elevated blood glucose and (7) elevated blood lactic acid. For treatment, most mild cases can be treated as outpatients. Patients should be isolated to avoid cross-infection. Intense treatment modalities should be given for those severe cases. Conclusion: The guidelines can provide systematic guidance on the diagnosis and management of HFMD.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85054311843&origin=inward; http://dx.doi.org/10.1007/s12519-018-0189-8; http://www.ncbi.nlm.nih.gov/pubmed/30280313; http://link.springer.com/10.1007/s12519-018-0189-8; https://dx.doi.org/10.1007/s12519-018-0189-8; https://link.springer.com/article/10.1007/s12519-018-0189-8; http://sciencechina.cn/gw.jsp?action=cited_outline.jsp&type=1&id=6347884&internal_id=6347884&from=elsevier
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