Ambulatory Pediatric Surveillance of Hand, Foot and Mouth Disease as Signal of an Outbreak of Coxsackievirus A6 Infections, France, 2014–2015

Mirand, Audrey; le Sage, François Vié; Pereira, Bruno; Cohen, Robert; Levy, Corinne; Archimbaud, Christine; Peigue-Lafeuille, Hélène; Bailly, Jean-Luc; Henquell, Cécile

doi:10.3201/eid2211.160590

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Ambulatory Pediatric Surveillance of Hand, Foot and Mouth Disease as Signal of an Outbreak of Coxsackievirus A6 Infections, France, 2014–2015

Published Date:

Nov 2016

Publisher's site:

http://dx.doi.org/10.3201/eid2211.160590 New Site Icon

Source:

Emerg Infect Dis. 22(11):1884-1893.

[PDF-2.49 MB]

Details:

Personal Authors:

Mirand, Audrey ; le Sage, François Vié ; Pereira, Bruno ; Cohen, Robert ; Levy, Corinne ; ... More ▼

Keywords:

[+]

Pubmed ID:

27767012

Pubmed Central ID:

PMC5088007

Description:

The clinical impact of enteroviruses associated with hand, foot and mouth disease (HFMD) is unknown outside Asia, and the prevalence of enterovirus A71 (EV-A71) in particular might be underestimated. To investigate the prevalence of enterovirus serotypes and the clinical presentations associated with HFMD in France, we conducted prospective ambulatory clinic-based surveillance of children during April 2014-March 2015. Throat or buccal swabs were collected from children with HFMD and tested for the enterovirus genome. Physical examinations were recorded on a standardized form. An enterovirus infection was detected in 523 (79.3%) of 659 children tested. Two epidemic waves occurred, dominated by coxsackievirus (CV) A6, which was detected in 53.9% of enterovirus-infected children. CV-A6 was more frequently related to atypical HFMD manifestations (eruptions extended to limbs and face). Early awareness and documentation of HFMD outbreaks can be achieved by syndromic surveillance of HFMD by ambulatory pediatricians and rapid enterovirus testing and genotyping.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

Supporting Files:

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