Evidence map›Paper›PMID 32804980›Full record

ArticlePLoS neglected tropical diseases2020

Clinical, etiological and epidemiological investigations of hand, foot and mouth disease in southern Vietnam during 2015 - 2018.

Le Nguyen Thanh Nhan, Truong Huu Khanh, Nguyen Thi Thu Hong, Hoang Minh Tu Van, Le Nguyen Truc Nhu, Nguyen Thi Han Ny, Lam Anh Nguyet, Tran Tan Thanh, Nguyen To Anh, Vu Thi Ty Hang and 11 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
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

31 citing papers in PubMed, 48 citations in OpenAlex.

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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

21 authors at 6 institutions in 2 countries.

Le Nguyen Thanh NhanChildren's Hospital 1, Ho Chi Minh City, Vietnam.ORCID 0000-0002-5405-7198
Truong Huu KhanhChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Nguyen Thi Thu HongOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Hoang Minh Tu VanOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Le Nguyen Truc NhuOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Thi Han NyOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Lam Anh NguyetOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Tran Tan ThanhOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen To AnhOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Vu Thi Ty HangOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Phan Tu QuiHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Ho Lu VietChildren's Hospital 2, Ho Chi Minh City, Vietnam.
Trinh Huu TungChildren's Hospital 2, Ho Chi Minh City, Vietnam.
Do Quang HaChildren's Hospital 1, Ho Chi Minh City, Vietnam.
Ha Manh TuanUniversity of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
Guy ThwaitesOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Van Vinh ChauHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.ORCID 0000-0003-4668-1019
Louise ThwaitesOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Thanh HungChildren's Hospital 1, Ho Chi Minh City, Vietnam.
H Rogier van DoornOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Le Van TanOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID 0000-0002-1791-3901
Oxford University Clinical Research Unit · VNChildren's Hospital 1 · VNUniversity of Oxford · GBChildren's Hospital 2 · VNHospital for Tropical Diseases · VNUniversity of Medicine and Pharmacy at Ho Chi Minh City · VN

Funding

Wellcome Trust 106680/B/14/ZWellcome Trust 204904/Z/16/Z
6 · The paper itself

Abstract

Hand, foot and mouth disease (HFMD) continues to challenge Asia with pandemic potential. In Vietnam, there have been two major outbreaks occurring during 2011-2012 (>200,000 hospitalizations and >200 deaths) and more recently in 2018 (>130,000 hospitalizations and 17 deaths). Given the high burden and the complex epidemic dynamics of HFMD, synthesizing its clinical and epidemiological data remains essential to inform the development of appropriate interventions and design public health measures. We report the results of a hospital-based study conducted during 2015-2018, covering the severe HFMD outbreak recently documented in Vietnam in 2018. The study was conducted at three major hospitals responsible for receiving HFMD patients from southern Vietnam with a population of over 40 million. A total of 19 enterovirus serotypes were detected in 1196 HFMD patients enrolled in the clinical study during 2015-2018, with enterovirus A71 (EV-A71), coxsackievirus A6 (CV-A6), CV-A10 and CV-A16 being the major causes. Despite the emergence of coxsackieviruses, EV-A71 remains the leading cause of severe HFMD in Vietnam. EV-A71 was consistently detected at a higher frequency during the second half of the years. The emergence of EV-A71 subgenogroup C4 in late 2018 was preceded by its low activity during 2017-early 2018. Compared with EV-A71 subgenogroup B5, C4 was more likely to be associated with severe HFMD, representing the first report demonstrating the difference in clinical severity between subgenogroup C4 and B5, the two predominant EV-A71 subgenogroups causing HFMD worldwide. Our data have provided significant insights into important aspects of HFMD over four years (2015-2018) in Vietnam, and emphasize active surveillance for pathogen circulation remains essential to inform the local public health authorities in the development of appropriate intervention strategies to reduce the burden of this emerging infections. Multivalent vaccines are urgently needed to control HFMD.

Indexed as

ChildChild, PreschoolDisease OutbreaksEnterovirusEnterovirus InfectionsFemaleHand, Foot and Mouth DiseaseHumansInfantMaleSerogroupVietnam

Identifiers

PMID32804980
PMCPMC7451980
OpenAlexW3075685265

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.