Evaluation of the Surveillance System and Management of Arthritis in Sexually Transmitted Infection Patients Aged 15-24 at Samut Prakan Hospital, Thailand, 2023

Abstract

Background: Syphilis remains a significant public health concern among adolescents and young adults, particularly in the 15-24 age group. Arthritis is a complication that can affect patients' quality of life. Evaluating the surveillance system and analyzing the management of Arthritis symptoms in syphilis patients is crucial for developing improved care and prevention strategies.

Objective: To evaluate the surveillance system for Arthritis symptoms in sexually transmitted infection patients aged 15-24 years and to analyze the management and diagnosis of Arthritis symptoms in syphilis patients of the same age group at Samut Prakan Hospital.

Method: This descriptive study involved reviewing medical records of 97 syphilis patients aged 15-24 years in 2023 and conducting in-depth interviews with 13 stakeholders involved in the surveillance system. Data were analyzed using descriptive statistics and content analysis. Both quantitative and qualitative characteristics of the surveillance system were assessed, along with an analysis of the diagnosis process and management of Arthritis symptoms.

Results: The surveillance system showed a sensitivity of 37.11% and a positive predictive value of 100%. Data quality was 100% complete and accurate, with 91.67% timeliness. Correct diagnosis of Arthritis symptoms was achieved in 72.0% of cases. Pain medication and antibiotics were used in 100% of cases, with rehabilitation therapy in 87.6%. The surveillance system was found to be user-friendly, flexible, and stable, but issues were identified regarding access to certain data and delays in modifying information in the medical record system.

Conclusion: The surveillance system demonstrates high accuracy but low sensitivity. The diagnosis and treatment of Arthritis symptoms in syphilis patients are effective, but there is room for improvement. Enhancements to the surveillance system, development of diagnostic and treatment guidelines, and education of medical personnel are recommended to improve the care of syphilis patients with Arthritis symptoms.