Template:Hand Foot Mouth Management: Difference between revisions

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*Encourage good hand hygiene to prevent spread
*Encourage good hand hygiene to prevent spread


;In infants DO NOT use oral lidocaine due to risk of lidocaine toxicity and FDA black box warning<ref>FDA recommends not using lidocaine to treat teething pain. http://www.fda.gov/Drugs/DrugSafety/ucm402240.htm</ref>
;In infants DO NOT use oral lidocaine due to risk of lidocaine toxicity and FDA black box warning<ref>FDA recommends not using lidocaine to treat teething pain. http://www.fda.gov/Drugs/DrugSafety/ucm402240.htm</ref><ref>Curtis LA, Dolan TS, Seibert HE. Are one or two dangerous? Lidocaine and topical anesthetic exposures in children. J Emerg Med 2009;37:32-39</ref>

Revision as of 18:51, 3 July 2014

  • No specific therapy for most, self-limited
  • Consider Magic Mouthwash/Oral Lidocaine if not tolerating PO intake although evidence suggests no better than placebo[1]
  • NSAIDS and cool liquids for pain
  • Encourage good hand hygiene to prevent spread
In infants DO NOT use oral lidocaine due to risk of lidocaine toxicity and FDA black box warning[2][3]
  1. ↑ Hopper S. et al. Topical lidocaine to improve oral intake in children with painful infectious mouth ulcers: a blinded, randomized, placebo-controlled trial. Ann Emerg Med. 2014 Mar;63(3):292-9
  2. ↑ FDA recommends not using lidocaine to treat teething pain. http://www.fda.gov/Drugs/DrugSafety/ucm402240.htm
  3. ↑ Curtis LA, Dolan TS, Seibert HE. Are one or two dangerous? Lidocaine and topical anesthetic exposures in children. J Emerg Med 2009;37:32-39
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