Evidence map›Paper›PMID 34713796›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2021

A large-scale outbreak of hand, foot and mouth disease, France, as at 28 September 2021.

Audrey Mirand, Robert Cohen, Maxime Bisseux, Stéphanie Tomba, Fabienne Cahn Sellem, Nathalie Gelbert, Stéphane Béchet, Bruno Frandji, Christine Archimbaud, Amélie Brebion and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.9field-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

29 citing papers in PubMed, 47 citations in OpenAlex.

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  8. Enterovirus Placentitis is an Underrecognized Cause of Placental Pathology.The American journal of surgical pathology · 2025
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  12. First Report of Hand, Foot, and Mouth Disease (HFMD) Outbreak in the West Bank, Palestine: Molecular Characterization of Coxsackievirus A16 (CV-A16).The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
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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

15 authors at 6 institutions in 1 country.

Audrey MirandCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Robert CohenAssociation Clinique et Thérapeutique Infantile du Val de Marne (ACTIV), Créteil, France.
Maxime BisseuxCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Stéphanie TombaUniversité d'Auvergne, LMGE UMR CNRS 6023 Equipe EPIE - Epidémiologie et physiopathologie des infections à entérovirus, Faculté de Médecine, Clermont-Ferrand, France.
Fabienne Cahn SellemAssociation Française de Pédiatrie Ambulatoire (AFPA), Orléans, France.
Nathalie GelbertAssociation Française de Pédiatrie Ambulatoire (AFPA), Orléans, France.
Stéphane BéchetAssociation Clinique et Thérapeutique Infantile du Val de Marne (ACTIV), Créteil, France.
Bruno FrandjiCompuGroup Medical France, Nanterre, France.
Christine ArchimbaudCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Amélie BrebionCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Hélène ChabrollesCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Christel RegagnonCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Corinne LevyAssociation Clinique et Thérapeutique Infantile du Val de Marne (ACTIV), Créteil, France.
Jean-Luc BaillyCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Cécile HenquellCHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France.
Centre Hospitalier Universitaire de Clermont-Ferrand · FRAssociation Clinique et Thérapeutique Infantile du Val de Marne · FRAssociation Française de Pédiatrie Ambulatoire · FRClermont Université · FRCentre National de la Recherche Scientifique · FRUniversité Paris Nanterre · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a large-scale outbreak of hand, foot and mouth disease (HFMD) in France. As at 28 September 2021, 3,403 cases have been reported (47% higher than in 2018-19). We prospectively analysed 210 clinical samples; 190 (90.5%) were enterovirus-positive. Most children presented with atypical HFMD. Coxsackievirus (CV)A6 (49.5%; 94/190) was predominant; no enterovirus A71 was detected. Dermatological and neurological complications of HFMD justify prospective syndromic and virological surveillance for early detection of HFMD outbreaks and identification of associated types.

Indexed as

EnterovirusEnterovirus InfectionsHand, Foot and Mouth DiseaseChildDisease OutbreaksHumansInfantProspective Studiesambulatory networkenterovirushand, foot and mouth disease, syndromic surveillanceherpanginapaediatric infectious diseases surveillance

Identifiers

PMID34713796
PMCPMC8555367
OpenAlexW3210626128

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.