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Practices of pediatricians and pediatric residents on oral care for patients with hand, foot and mouth disease
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Keywords

Hand
Foot and mouth disease
Oral ulcer
Pediatricians

How to Cite

Practices of pediatricians and pediatric residents on oral care for patients with hand, foot and mouth disease. (2025). Electronic Journal Collection Health, 25(5), e20089. https://doi.org/10.25248/reas.e20089.2025

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Abstract

Objective: To assess the conduct of pediatricians and pediatric residents in Rio de Janeiro regarding oral care in children with hand, foot and mouth disease (HFMD). Methods: Sectional and descriptive study. The sample consisted of Pediatricians and Pediatric residents from Rio de Janeiro. A structured questionnaire guide was applied online with questions on demographic and professional data, information on HFMD and care for oral lesions related to the disease. Results: 102 professionals took part in the study, 32.4% of whom were aged between 60 and 69, 83.3% were female and 91.1% had a pediatric degree. The majority (74.5%) treated between 1 and 5 cases of HFMD per month, 91.2% of the professionals gave advice on caring for oral lesions and 94.1% gave advice on diet. It was observed that 56.9% prescribed medication for these lesions, 52.9% of the professionals knew about the low-power lasers, 37 indicated its use and 29.4% referred patients to a pediatric dentist. Conclusion: There was a consensus among the participants about the medications prescribed and the general symptoms of HFMD. However, regarding oral lesions, except for dietary guidelines, the responses were varied and some diverged from the literature.

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References

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.

ALANZI A, et al. Pediatricians’ Knowledge of Children’s Oral Health: A National Survey. International Dental Journal, 2023; 73: 463-469.

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.

ALQAHTANI SS, Khan SD. Management of oral mucositis in children. European Review for Medical and Pharmacological Sciences, 2022; 26: 1648-1657.

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.

BALABAN R, et al. Knowledge of paediatricians regarding child oral health. International Journal of Paediatric Dentistry, 2012; 22: 286-291.

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.

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.

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.

FREIRE MCM, et al. Conhecimentos, atitudes e práticas dos médicos pediatras em relação à saúde bucal. Pesquisa Odontológica Brasileira, 2000; 14: 39-45.

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.

HII YL, et al. Short Term Effects of Weather on Hand, Foot and Mouth Disease. PLoS One. 2011; 6: e16796.

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.

HUO X, et al. Effect of different treatments on recurrent aphthous stomatitis: laser versus medication. Lasers in Medical Science, 2021; 36: 1095-1100.

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.

KOBEROVÁ R, et al. Recurrent Aphthous Stomatitis in Children: A Practical Guideline for Paediatric Practitioners. Acta Medica (Hradec Králové), 2020; 63: 145–149.

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.

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.

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.

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.

MILIA E, et al. Recurrent aphthous stomatitis (RAS): guideline for differential diagnosis and management. European Journal of Paediatric Dentistry, 2022; 23: 73-78.

MONTGOMERY-CRANNY JA, et al. Management of recurrent aphthous stomatitis in children. Dent Update, 2015; 42: 564–572.

NAKAO PH, et al. Doença mão-pé-boca no atendimento odontopediátrico. Archieve of Health Investigation, 2019; 8: 825-831.

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.

REDMAN MG, et al. Low-level laser therapy for oral mucositis in children with cancer. Archives of Disease in Childhood, 2022; 107: 128–133.

SÁNCHEZ J, et al. Recurrent Aphthous Stomatitis. Actas Dermo-sifiliográficas (Engl Ed), 2020; 111: 471-480.

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.

SIEGEL MA. Diagnosis and management of recurrent herpes simplex infections. The Journal of American Dental Association, 2002;133(9):1245-9.

SILVA APMP, et al. Dental students' biosafety knowledge and practices regarding COVID-19. Research, Society and Development, 2021; 10: 14.

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.

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.

VENTAROLA D, et al. Update on hand-foot-and-mouth disease. Clinics in Dermatology, 2015; 33: 340–346.

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.

XING W, et al. Hand, foot, and mouth disease in China, 2008–12: an epidemiological study. The Lancet Infectious Disease, 2014; 14: 308-318.

YU H, et al. Diagnosis and treatment of herpangina: Chinese expert consensus. World Journal of Pediatrics, 2020; 16: 129-134.

ZHUANG ZC, et al. Epidemiological Research on Hand, Foot, and Mouth Disease in Mainland China. Viruses, 2015; 7: 6400-6411.