Hand-foot-and-mouth disease primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2], Aravind Kuchkuntla, M.B.B.S[3]

Overview

Prevention of hand foot mouth disease includes following hygienic measures and avoiding contact with patients with the disease.

Primary prevention

Effective measures for the primary prevention include:[1]

  • Washing hands often with soap and water, especially after changing diapers and using the toilet.[2]
  • Cleaning and disinfecting frequently touched surfaces and soiled items, including toys first with soap and water, and then disinfecting them by diluted solution of chlorine-containing bleach (made by mixing approximately ¼ cup of bleach with 1 gallon of water.
  • Avoiding close contacts such as kissing, hugging, or sharing eating utensils or cups with people with hand foot and mouth disease.
  • Two inactivated whole EV 71 vaccines are approved by the Chinese FDA in the year 2015 and 2016, are now in the production phase.[3]
  • As hand foot mouth disease occurs in outbreaks, local CDC must be notified regarding the infection to minimize the incidence and the length of the outbreak.[4]

References

  1. CDC http://www.cdc.gov/hand-foot-mouth/about/prevention-treatment.html (2015) Accessed on October 23,2016
  2. Zhang D, Li Z, Zhang W, Guo P, Ma Z, Chen Q; et al. (2016). "Hand-Washing: The Main Strategy for Avoiding Hand, Foot and Mouth Disease". Int J Environ Res Public Health. 13 (6). doi:10.3390/ijerph13060610. PMC 4924067. PMID 27322307.
  3. Yi EJ, Shin YJ, Kim JH, Kim TG, Chang SY (2017). "Enterovirus 71 infection and vaccines". Clin Exp Vaccine Res. 6 (1): 4–14. doi:10.7774/cevr.2017.6.1.4. PMC 5292356. PMID 28168168.
  4. Chan JH, Law CK, Hamblion E, Fung H, Rudge J (2017). "Best practices to prevent transmission and control outbreaks of hand, foot, and mouth disease in childcare facilities: a systematic review". Hong Kong Med J. 23 (2): 177–90. doi:10.12809/hkmj166098. PMID 28302925.

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