Surveillance Evaluation of Hand, Foot and Mouth Disease among Children Age 0 - 5 Year in Ratchaphiphat Hospital under the Bangkok Metropolitan Administration, 2023

Abstract

     This research was Cross-sectional study. This study aimed to investigate the quantitative attribute of surveillance system of Hand Foot and Mouth Disease in children 0- 5 years at Ratchaphiphat hospital. In 2023, the highest number of patients treated in hospitals in the 0-5 year age group was found compared to other age groups, and outbreaks of this disease were found in nearby communities. Therefore, disease surveillance was assessed in patients with Hand Foot and Mouth Disease in this age group. Data collections were retrieved from patient’s medical records regarding in and out patient department database and report 506 between 1 January – 31December 2023. Subjects had compatible symptoms with the definition of suspected Hand, Foot and Mouth Disease. The descriptive statistics was analysed and presented Sensitivity, Positive predictive value, Timeliness, Representativeness and Data quality. Results was described by frequency, percentage, mean and standard deviation.

        The results of the study found that Sensitivity was 90.3% and Positive predictive value was 94.0%. Timeliness of reported was presented in 0-3 days and more than 7 days comprisely as 31.5 and 66.8%. Quality of recording of the date of onset was 21.5% but other variables were 98% correct or higher. Gender can be a good representativeness.

          In conclusion, the variable date of onset has poor quality. There should be a meeting with those involved in order to report accurate information. Awareness of reported in the surveillance system should be created to improve and develop more timely send of report 506.