Japanese Journal of Infectious Diseases
Online ISSN : 1884-2836
Print ISSN : 1344-6304
ISSN-L : 1344-6304
Original Articles
Risk Factors for Hand, Foot, and Mouth Disease Caused by Coxsackievirus A6 in Children under 6 Years of Age in Tianjin, China: a Case-Control Study
Zichao WangTao LiuJiameng LiQing Gu
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JOURNAL FREE ACCESS

2021 Volume 74 Issue 5 Pages 437-442

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Abstract

Hand, foot, and mouth disease (HFMD) due to Coxsackievirus A6 (CV-A6) has demonstrated an increasing trend in China. Our study aimed to explore the risk factors of HFMD cases infected with CV-A6 among children under 6 years of age in Tianjin, China. The non-matching case-control study included cases which were HFMD patients infected with CV-A6 while controls were HFMD patients infected with other enteroviruses. Multivariate logistic regression analysis was used to explore the risk factors of HFMD cases infected with CV-A6. A total of 1,264 eligible cases were included in our study, including 589 cases and 675 controls. Our study suggests that CV-A6 infected HFMD patients were more likely to present with fever and rash on limbs, and home-care children and children having a history of contacting HFMD patient had a high risk of infection with CV-A6, while toy sterilization regularly at home and parents’ hand-washing habits after toilet use were protective factors for children against CV-A6 infection.

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