Template:Hand Foot Mouth Management

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  • No specific therapy for most, self-limited
  • Consider Magic Mouthwash 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]
  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