{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:06:32Z","timestamp":1773011192801,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:00:00Z","timestamp":1597276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Virology"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Coxsackievirus 6 (CV\u2010A6) has been emerging as another predominant serotype for severe hand, foot, and mouth disease (HFMD) in China, after the introduction of enterovirus 71 inactivated vaccine (EV71 vaccine) for 3 years. Data on the risk factors for severe HFMD infected with CV\u2010A6 are limited. We interviewed the caregivers to collected data on HFMD patients who sought medical care in the People's Hospital of Baoan district, Shenzhen, from 2015 to 2017. Totally, 131 severe patients were frequency\u2010matched by age and gender with 174 mild patients infected with CV\u2010A6. Univariable and multivariable logistic regression analyses were conducted to analyze the risk factors for severe CV\u2010A6 HFMD. The average age was 20.62\u2009\u00b1\u200914.18 months and 20.52\u2009\u00b1\u200912.76 months for severe and mild patients, respectively. Multivariate analyses indicated complications at birth (odds ratio [OR], 4.18; 95% confidence interval [CI]: 1.64\u201010.63), peak body temperature over 39\u00b0C (OR, 4.04; 95% CI: 2.29\u20107.10) and first\u2010born child (OR, 2.17; 95% CI: 1.27\u20103.70) increased the risk of severe HFMD infected with CV\u2010A6. Breastfeeding (OR, 0.52; 95% CI: 0.32\u20100.87), and washing hands after playing frequently (OR, 0.58; 95% CI: 0.34\u20100.97) were negatively associated with severe illness. Compared with HFMD with infection of EV\u2010A71, complications at birth and first\u2010born child were newly found to be associated with severe illness in HFMD patients infected with CV\u2010A6.<\/jats:p>","DOI":"10.1002\/jmv.26343","type":"journal-article","created":{"date-parts":[[2020,7,24]],"date-time":"2020-07-24T12:54:45Z","timestamp":1595595285000},"page":"3144-3150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Risk factors for severe hand, foot, and mouth disease infected with Coxsackievirus A6: A hospital\u2010based case\u2010control study"],"prefix":"10.1002","volume":"92","author":[{"given":"Yanan","family":"Li","sequence":"first","affiliation":[{"name":"State Key Laboratory of Environmental Health (Incubating), Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan 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China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangqing","family":"Yu","sequence":"additional","affiliation":[{"name":"Department for Infectious Disease Control and Prevention, Baoan District Center for Disease Control and Prevention Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1772-7575","authenticated-orcid":false,"given":"Jian","family":"Liu","sequence":"additional","affiliation":[{"name":"Deprtment of Pediatrics, People's Hospital of Baoan district Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinrong","family":"Xiao","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Environmental Health (Incubating), Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan 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University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9344-2833","authenticated-orcid":false,"given":"Jiao","family":"Huang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Environmental Health (Incubating), Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan 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