35. Hand Foot mouth Disease(HFMD)

Protocols

Clinical Feature:


  • Fever
  • Rash 
  • Blister hand & foot 
  • Oral ulcer

Cause: coxsackie viruse

D/D: 

  • Scabies
  • Gianotti crosti syndrome


Treatment : Mostly conservative mx

🗒️Rx: 

1. Syrup. Furotil ([post id="400" title="Cefuroxime"])(125mg/5ml)(To prevent 2ndry infection)

20mg/kg/day ....2 times ....7 days 


Average dose:

6-12 month:/ চামচ বার

1-3 year:  চামচ  বার

4-5 years: 1.5 চামচ  বার

2. Syrup. Sinamin ([post id="531" title="Chlorpheniramine"])( (2mg/5ml)

Average dose:

6-12 month:/ চামচ  বার

1-5 year:  চামচ  বার

➡6-10 years: 1.5 চামচ  বার




3. If Fever :

Syrup.Napa ([post id="449" title="Paracetamol"])(120mg/5ml)

15 mg/kg/dose ............6 hourly 

4. If itching : 

Togent cream([post id="611" title="Diphenhydramine"]) ....apply 3/4 times locally ...7 days 

Advice:

🕹Wash your hands with soap and water often.

🕹Keep your hands away from your eyes, nose, and mouth.

🕹Avoid close contact with anyone who has HFMD.