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Hand-foot-and-mouth disease primary prevention

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

Overview

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

Primary prevention

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

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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