Evidence map›Paper›PMID 26027435›Full record

ArticleEpidemiology and infection2016

Epidemiological characteristics and influential factors of hand, foot and mouth disease (HFMD) reinfection in children in Anhui province.

G-P Chen, J-B Wu, J-J Wang, H-F Pan, J Zhang, Y-L Shi, C Cao, F-R Li, Y-G Fan, F-Y Meng and 1 more

Abstract read
In one paragraph

Article in Epidemiology and infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Epidemic cycling in a multi-strain SIRS epidemic network model.Theoretical biology & medical modelling · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

G-P ChenDepartment of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei,Anhui,China.
J-B WuDepartment of Infectious Diseases,Anhui Center for Disease Control and Prevention,Hefei,Anhui,China.
J-J WangDepartment of Infectious Diseases,Anhui Center for Disease Control and Prevention,Hefei,Anhui,China.
H-F PanDepartment of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei,Anhui,China.
J ZhangDepartment of Infectious Diseases,Anhui Center for Disease Control and Prevention,Hefei,Anhui,China.
Y-L ShiDepartment of Infectious Diseases,Anhui Center for Disease Control and Prevention,Hefei,Anhui,China.
C CaoDepartment of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei,Anhui,China.
F-R LiDepartment of Infectious Diseases,Anhui Center for Disease Control and Prevention,Hefei,Anhui,China.
Y-G FanDepartment of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei,Anhui,China.
F-Y MengDepartment of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei,Anhui,China.
D-Q YeDepartment of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei,Anhui,China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hand, foot and mouth disease (HFMD) is an acute contagious condition caused by a spectrum of human enteroviruses. HFMD reinfection is common in the absence of cross-protection from other virus subtypes. This study focused on reinfection in children in Anhui province, China between 2008 and 2013 using surveillance system data. We classified 8960 cases as reinfected, corresponding to a rate of 2·02%. The reinfection rate was higher in boys than in girls [odds ratio (OR) 1·27, 95% confidence interval (CI) 1·21-1·32, P < 0·001], children aged < 3 years (OR 3·82, 95% CI 3·58-4·07, P < 0·001), and children living in rural areas (OR 1·09, 95% CI 1·04-1·14, P = 0·001). The reinfection rate in children who were originally infected with non-enterovirus A71 (non-EVA71) enteroviruses was higher than those infected with EVA71 (OR 1·36, 95% CI 1·02-1·80, P = 0·034). Influential factors of reinfection rate included annual incidence (β coefficient = 0·715, P = 0·002) and the proportion of EVA71 in patients with mild HFMD (β coefficient = -0·509, P = 0·018). These results demonstrate that boys aged <3 years, especially those in rural areas or regions with a lower EVA71 proportion are more prone to reinfection, and specific health education programmes should be developed to protect these susceptible populations.

Indexed as

ChildChild, PreschoolChinaEnterovirus A, HumanFemaleHand, Foot and Mouth DiseaseHumansIncidenceInfantInfant, NewbornMaleRisk FactorsEpidemiology; handfoot and mouth disease (HFMD); re-infection

Identifiers

PMID26027435
PMCPMC9507301

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.