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Coxsackievirus A6 was the most common enterovirus serotype causing hand,foot,and mouth disease in Shiyan City,central China

引用

World Journal of Clinical Cases 2022年第31期10卷 11358-11370页

作者： Jing-Feng Li Chuan-Jie Zhang Ya-Wei Li Chao Li Shi-Chao Zhang Sha-Sha Wang Yong Jiang Xin-Bing Luo Xing-Juan Liao Shou-Xin Wu Ling Lin Department of Pediatrics Taihe HospitalAffiliated Hospital of Hubei University of MedicineShiyan 442000Hubei ProvinceChina Department of Children Health Care Wuhan Children's Hospital(Wuhan Maternal and Child Healthcare Hospital)Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430061Hubei ProvinceChina Department of Health Services Taihe HospitalAffiliated Hospital of Hubei University of MedicineShiyan 442000Hubei ProvinceChina Department of Pharmaceuticals Shanghai Biotecan Pharmaceuticals Co.Ltd.Shanghai 200000China Zhangjiang Center for Translational Medicine Shanghai Zhangjiang Institute of Medical InnovationShanghai 442000China

BACKGROUND Hand,foot,and mouth disease(HFMD)has become one of the most common infectious diseases in *** 2016,the primary causal serotypes were enterovirus A71(EV-A71)and coxsackievirus A16(CV-A16).Following the introduction of EV-A71 vaccines in China since 2016,the situation could ***-A6 has recently replaced EV-A71 and CV-A16 in some areas of ***,the epidemiological characteristics of central China remain *** To investigate the clinical symptoms and pathogen spectrum of HFMD in Shiyan City,central China,in recent *** The epidemiological,clinical,and laboratory data from HFMD cases reported to the Shiyan Center for Disease Control and Prevention between January 2016 and December 2020 were analyzed.196 throat swab specimens were collected from hospitalized HFMD patients between January 2018 and December *** detect and genotype enteroviruses,real-time reverse transcription-polymerase chain reaction and sequencing of the 5'-untranslated region were *** Shiyan,168 laboratory-confirmed HFMD cases were studied using a logistic regression model to determine the effect of predominant enterovirus *** on the logistic regression model,the least absolute shrinkage and selection operator model was used to analyze the correlation between CV-A6 infection and various clinical characteristics in HFMD patients in *** From 2016 to 2020,35840 HFMD cases were reported in *** number of cases decreased by 48.4%from 2016 to *** 1.58-fold increases were found in 2018 and 2019 when compared to the previous year,*** 2020,a decrease of about 85.5%was reported when compared to *** most common serotypes shifted from EV-A71 and CV-A16(about 60%-80%in 2016 and 2018)to others(more than 80.0%in 2017,2019,and 2020).EV-A71 lost its dominance in 2017 in *** 196 confirmed HFMD cases,85.7%tested positive for enterovirus,with CV-A6 being the most common serotype(121/168,72.0%).The po

关键词： Hand,foot,and mouth disease Coxsackievirus A6 Enterovirus prevalence serotype Fever Myocardial damage

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