Práticas de pediatras e residentes em pediatria sobre os cuidados bucais em pacientes com a doença mão, pé e boca
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May 14, 2025
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Resumo
Objetivo: Avaliar a conduta dos Pediatras e Residentes em Pediatria do Rio de Janeiro com relação aos cuidados bucais em crianças com a doença mão, pé e boca (DMPB). Métodos: Estudo seccional e descritivo. A amostra foi composta por Pediatras e residentes em Pediatria do Rio de Janeiro. Um roteiro de perguntas estruturado foi aplicado online com questões sobre: dados demográficos e profissionais, informações sobre a DMPB e os cuidados com as lesões orais relacionadas à doença. Resultados: Participaram do estudo 102 profissionais, sendo 32,4% na faixa etária de 60 a 69 anos de idade, 83,3% do sexo feminino e 91,1% possuíam formação em Pediatria. A maioria (74,5%) atendia entre 1 e 5 casos de DMPB por mês, 91,2% dos profissionais orientavam sobre cuidados com as lesões orais, 94,1% orientavam sobre a dieta. Foi observado que 56,9% prescreviam medicação para essas lesões, 52,9% dos profissionais possuíam conhecimento sobre o laser de baixa potência, 37 o indicavam e 29,4% encaminhavam para o Odontopediatra. Conclusão: Houve um consenso, entre os participantes, sobre as medicações prescritas e sintomas gerais da DMPB. Entretanto, com relação as lesões orais, com exceção das orientações sobre a dieta, as repostas foram variadas e algumas divergentes da literatura.
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Como Citar
PintoC. G. V. F., EstefanJ. L., OrsiniM., GonçalvesL. de S., FerreiraD. de C., & DiasL. A. (2025). Práticas de pediatras e residentes em pediatria sobre os cuidados bucais em pacientes com a doença mão, pé e boca. Revista Eletrônica Acervo Saúde, 25(5), e20089. https://doi.org/10.25248/reas.e20089.2025
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Referências
1. AGGARWAL H, et al. Efficacy of low-level laser therapy in treatment of recurrent aphthous ulcers - a sham controlled, split mouth follow up study. Journal of Clinical and Diagnostic Research, 2014; 8: 218-221.
2. ALANZI A, et al. Pediatricians’ Knowledge of Children’s Oral Health: A National Survey. International Dental Journal, 2023; 73: 463-469.
3. ALLI BY, et al. Effect of sodium lauryl sulfate on recurrent aphthous stomatitis: A systematic review. Journal of Oral Pathology & Medicine, 2019; 48: 358–364.
4. ALQAHTANI SS, Khan SD. Management of oral mucositis in children. European Review for Medical and Pharmacological Sciences, 2022; 26: 1648-1657.
5. ALRASHDI M, et al. Oral Health Knowledge Gaps and Their Impact on the Role of Pediatricians: A Multicentric Study. International Journal of Environmental Research and Public Health, 2021; 18: 10237.
6. BALABAN R, et al. Knowledge of paediatricians regarding child oral health. International Journal of Paediatric Dentistry, 2012; 22: 286-291.
7. BARDELLINI E, et al. Photobiomodulation therapy for the management of recurrent aphthous stomatitis in children: clinical effectiveness and parental satisfaction. Medicina Oral Patologia Oral Cirurgia Bucal. 2020; 25: e549-553.
8. BRASIL. Ministério da Saúde. Nota Técnica Nº 16/2023-CGCIEVS/DEMSP/SVSA/MS. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/notas-tecnicas/2023/sei_ms-0033506310-nota-tecnica.pdf. Acessado em: 3 de julho de 2023.
9. CHIANG CP, et al. Recurrent aphthous stomatitis e etiology, serum autoantibodies, anemia, hematinic deficiencies, and management. Journal of the Formosan Medical Association, 2019; 118: 1279-1289.
10. FREIRE MCM, et al. Conhecimentos, atitudes e práticas dos médicos pediatras em relação à saúde bucal. Pesquisa Odontológica Brasileira, 2000; 14: 39-45.
11. GONZALEZ G, et al. Enterovirus-Associated Hand-Foot and Mouth Disease and Neurological Complications in Japan and the Rest of the World. International Journal of Molecular Science, 2019; 20: 5201.
12. HII YL, et al. Short Term Effects of Weather on Hand, Foot and Mouth Disease. PLoS One. 2011; 6: e16796.
13. HONG J, et al. Changing epidemiology of hand, foot, and mouth disease in China, 2013-2019: a population-based study. The Lancet Regional Health - Western Pacific, 2022; 20:100370.
14. HUO X, et al. Effect of different treatments on recurrent aphthous stomatitis: laser versus medication. Lasers in Medical Science, 2021; 36: 1095-1100.
15. JUSTINO MCA, et al. Atypical hand-foot-mouth disease in Belém, Amazon region, northern Brazil, with detection of coxsackievirus A6. Journal of Clinical Virology, 2020; 126: 104307.
16. KOBEROVÁ R, et al. Recurrent Aphthous Stomatitis in Children: A Practical Guideline for Paediatric Practitioners. Acta Medica (Hradec Králové), 2020; 63: 145–149.
17. LI J, et al. The surveillance of the epidemiological and serotype characteristics of hand, foot, mouth disease in Neijiang city, China, 2010-2017: A retrospective study. PLoS One, 2019; 14: e0217474.
18. LI XW, et al. Chinese guidelines for the diagnosis and treatment of hand, foot and mouth disease (2018 edition). World Journal of Pediatrics, 2018; 14: 437-447.
19. LIZASOAIN A, et al. Hand‐foot‐and‐mouth disease in uruguay: Coxsackievirus A6 identified as causative of an outbreak in a rural childcare center. Journal of Medical Virology, 2020; 92: 167-173.
20. LUCHS A, et al. Coxsackievirus A6 strains causing an outbreak of hand-foot and-mouth disease in Northeastern Brazil in 2018. Revista do Instituto de Medicina Tropical de São Paulo, 2022; 21: 64: e16.
21. MILIA E, et al. Recurrent aphthous stomatitis (RAS): guideline for differential diagnosis and management. European Journal of Paediatric Dentistry, 2022; 23: 73-78.
22. MONTGOMERY-CRANNY JA, et al. Management of recurrent aphthous stomatitis in children. Dent Update, 2015; 42: 564–572.
23. NAKAO PH, et al. Doença mão-pé-boca no atendimento odontopediátrico. Archieve of Health Investigation, 2019; 8: 825-831.
24. NASSEF C, et al. Hand-foot-and-mouth disease: a new look at a classic viral rash. Current Opinion in Pediatrics, 2015; 27: 486-491.
25. REDMAN MG, et al. Low-level laser therapy for oral mucositis in children with cancer. Archives of Disease in Childhood, 2022; 107: 128–133.
26. SÁNCHEZ J, et al. Recurrent Aphthous Stomatitis. Actas Dermo-sifiliográficas (Engl Ed), 2020; 111: 471-480.
27. SCHEFFER MC, et al. Associação Médica Brasileira [Internet]. Radar da Demografia Médica no Brasil; 2023. Disponível em: https://amb.org.br/wp-content/uploads/2023/02/DemografiaMedica2023_8fev-1.pdf. Acessado em: 3 de julho de 2023.
28. SIEGEL MA. Diagnosis and management of recurrent herpes simplex infections. The Journal of American Dental Association, 2002;133(9):1245-9.
29. SILVA APMP, et al. Dental students' biosafety knowledge and practices regarding COVID-19. Research, Society and Development, 2021; 10: 14.
30. SOCIEDADE BRASILEIRA DE PEDIATRIA. Departamento Científico de Dermatologia. Departamento Científico de Infectologia. Síndrome Mão-Pé-Boca. 2019. Disponível em: https://www.sbp.com.br/fileadmin/user_upload/_22039d-DocCient_-_Sindrome_Mao-Pe-Boca.pdf. Acessado em: 3 de julho de 2023.
31. TOIDA M, et al. Usefulness of Low-Level Laser for Control of Painful Stomatitis in Patients with Hand-Foot-and-Mouth Disease. Journal of Clinical Lasers Medicine & Surgery, 2023; 21: 363–367.
32. VENTAROLA D, et al. Update on hand-foot-and-mouth disease. Clinics in Dermatology, 2015; 33: 340–346.
33. WORLD HEALTH ORGANIZATION. Regional Office for the Western Pacific. A guide to clinical management and public health response for hand, foot and mouth disease (HFMD). Manila: WHO Regional Office for the Western Pacific. 2011. Disponível em: https://apps.who.int/iris/handle/10665/207490. Acessado em: 3 de julho de 2023.
34. XING W, et al. Hand, foot, and mouth disease in China, 2008–12: an epidemiological study. The Lancet Infectious Disease, 2014; 14: 308-318.
35. YU H, et al. Diagnosis and treatment of herpangina: Chinese expert consensus. World Journal of Pediatrics, 2020; 16: 129-134.
36. ZHUANG ZC, et al. Epidemiological Research on Hand, Foot, and Mouth Disease in Mainland China. Viruses, 2015; 7: 6400-6411.
2. ALANZI A, et al. Pediatricians’ Knowledge of Children’s Oral Health: A National Survey. International Dental Journal, 2023; 73: 463-469.
3. ALLI BY, et al. Effect of sodium lauryl sulfate on recurrent aphthous stomatitis: A systematic review. Journal of Oral Pathology & Medicine, 2019; 48: 358–364.
4. ALQAHTANI SS, Khan SD. Management of oral mucositis in children. European Review for Medical and Pharmacological Sciences, 2022; 26: 1648-1657.
5. ALRASHDI M, et al. Oral Health Knowledge Gaps and Their Impact on the Role of Pediatricians: A Multicentric Study. International Journal of Environmental Research and Public Health, 2021; 18: 10237.
6. BALABAN R, et al. Knowledge of paediatricians regarding child oral health. International Journal of Paediatric Dentistry, 2012; 22: 286-291.
7. BARDELLINI E, et al. Photobiomodulation therapy for the management of recurrent aphthous stomatitis in children: clinical effectiveness and parental satisfaction. Medicina Oral Patologia Oral Cirurgia Bucal. 2020; 25: e549-553.
8. BRASIL. Ministério da Saúde. Nota Técnica Nº 16/2023-CGCIEVS/DEMSP/SVSA/MS. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/notas-tecnicas/2023/sei_ms-0033506310-nota-tecnica.pdf. Acessado em: 3 de julho de 2023.
9. CHIANG CP, et al. Recurrent aphthous stomatitis e etiology, serum autoantibodies, anemia, hematinic deficiencies, and management. Journal of the Formosan Medical Association, 2019; 118: 1279-1289.
10. FREIRE MCM, et al. Conhecimentos, atitudes e práticas dos médicos pediatras em relação à saúde bucal. Pesquisa Odontológica Brasileira, 2000; 14: 39-45.
11. GONZALEZ G, et al. Enterovirus-Associated Hand-Foot and Mouth Disease and Neurological Complications in Japan and the Rest of the World. International Journal of Molecular Science, 2019; 20: 5201.
12. HII YL, et al. Short Term Effects of Weather on Hand, Foot and Mouth Disease. PLoS One. 2011; 6: e16796.
13. HONG J, et al. Changing epidemiology of hand, foot, and mouth disease in China, 2013-2019: a population-based study. The Lancet Regional Health - Western Pacific, 2022; 20:100370.
14. HUO X, et al. Effect of different treatments on recurrent aphthous stomatitis: laser versus medication. Lasers in Medical Science, 2021; 36: 1095-1100.
15. JUSTINO MCA, et al. Atypical hand-foot-mouth disease in Belém, Amazon region, northern Brazil, with detection of coxsackievirus A6. Journal of Clinical Virology, 2020; 126: 104307.
16. KOBEROVÁ R, et al. Recurrent Aphthous Stomatitis in Children: A Practical Guideline for Paediatric Practitioners. Acta Medica (Hradec Králové), 2020; 63: 145–149.
17. LI J, et al. The surveillance of the epidemiological and serotype characteristics of hand, foot, mouth disease in Neijiang city, China, 2010-2017: A retrospective study. PLoS One, 2019; 14: e0217474.
18. LI XW, et al. Chinese guidelines for the diagnosis and treatment of hand, foot and mouth disease (2018 edition). World Journal of Pediatrics, 2018; 14: 437-447.
19. LIZASOAIN A, et al. Hand‐foot‐and‐mouth disease in uruguay: Coxsackievirus A6 identified as causative of an outbreak in a rural childcare center. Journal of Medical Virology, 2020; 92: 167-173.
20. LUCHS A, et al. Coxsackievirus A6 strains causing an outbreak of hand-foot and-mouth disease in Northeastern Brazil in 2018. Revista do Instituto de Medicina Tropical de São Paulo, 2022; 21: 64: e16.
21. MILIA E, et al. Recurrent aphthous stomatitis (RAS): guideline for differential diagnosis and management. European Journal of Paediatric Dentistry, 2022; 23: 73-78.
22. MONTGOMERY-CRANNY JA, et al. Management of recurrent aphthous stomatitis in children. Dent Update, 2015; 42: 564–572.
23. NAKAO PH, et al. Doença mão-pé-boca no atendimento odontopediátrico. Archieve of Health Investigation, 2019; 8: 825-831.
24. NASSEF C, et al. Hand-foot-and-mouth disease: a new look at a classic viral rash. Current Opinion in Pediatrics, 2015; 27: 486-491.
25. REDMAN MG, et al. Low-level laser therapy for oral mucositis in children with cancer. Archives of Disease in Childhood, 2022; 107: 128–133.
26. SÁNCHEZ J, et al. Recurrent Aphthous Stomatitis. Actas Dermo-sifiliográficas (Engl Ed), 2020; 111: 471-480.
27. SCHEFFER MC, et al. Associação Médica Brasileira [Internet]. Radar da Demografia Médica no Brasil; 2023. Disponível em: https://amb.org.br/wp-content/uploads/2023/02/DemografiaMedica2023_8fev-1.pdf. Acessado em: 3 de julho de 2023.
28. SIEGEL MA. Diagnosis and management of recurrent herpes simplex infections. The Journal of American Dental Association, 2002;133(9):1245-9.
29. SILVA APMP, et al. Dental students' biosafety knowledge and practices regarding COVID-19. Research, Society and Development, 2021; 10: 14.
30. SOCIEDADE BRASILEIRA DE PEDIATRIA. Departamento Científico de Dermatologia. Departamento Científico de Infectologia. Síndrome Mão-Pé-Boca. 2019. Disponível em: https://www.sbp.com.br/fileadmin/user_upload/_22039d-DocCient_-_Sindrome_Mao-Pe-Boca.pdf. Acessado em: 3 de julho de 2023.
31. TOIDA M, et al. Usefulness of Low-Level Laser for Control of Painful Stomatitis in Patients with Hand-Foot-and-Mouth Disease. Journal of Clinical Lasers Medicine & Surgery, 2023; 21: 363–367.
32. VENTAROLA D, et al. Update on hand-foot-and-mouth disease. Clinics in Dermatology, 2015; 33: 340–346.
33. WORLD HEALTH ORGANIZATION. Regional Office for the Western Pacific. A guide to clinical management and public health response for hand, foot and mouth disease (HFMD). Manila: WHO Regional Office for the Western Pacific. 2011. Disponível em: https://apps.who.int/iris/handle/10665/207490. Acessado em: 3 de julho de 2023.
34. XING W, et al. Hand, foot, and mouth disease in China, 2008–12: an epidemiological study. The Lancet Infectious Disease, 2014; 14: 308-318.
35. YU H, et al. Diagnosis and treatment of herpangina: Chinese expert consensus. World Journal of Pediatrics, 2020; 16: 129-134.
36. ZHUANG ZC, et al. Epidemiological Research on Hand, Foot, and Mouth Disease in Mainland China. Viruses, 2015; 7: 6400-6411.