Causes of acute febrile illness among school children in ladkrabang district, Bangkok: cohort study
Issued Date
2014
Resource Type
Language
eng
Rights
Mahidol University
Suggested Citation
Komchaluch Taweeseneepitch, Jaranit Kaewkungwal, จรณิต แก้วกังวาน, Pratap Singhasivanon, ประตาป สิงหศิวานนท์, Wongwat Liulark, Amnat Khamsiriwatchara, อำนาจ คำศิริวัชรา, Sarinya Krongrungroj, Saranath Lawpoolsri, สารนาถ ล้อพูลศรี (2014). Causes of acute febrile illness among school children in ladkrabang district, Bangkok: cohort study. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/63336
Title
Causes of acute febrile illness among school children in ladkrabang district, Bangkok: cohort study
Abstract
Fever is a common clinical sign of most infectious diseases. School children
are a population at risk, and also play an important role as a source of
disease outbreak spreading in community. This study aimed to describe and
investigate causes of acute febrile illness among school absentees
Study was conducted in seven primary schools containing 5000 students from
Ladkrabang district, Bangkok between 1 November 2013 and 31 August 2014. School
absentees were monitored by an electronic absenteeism system. A list of school
children who were sick with fever for 2 consecutive days were extracted and sent to
nurses who are responsible for home visits. During home visits, consenting children
and their parents were asked to complete a questionnaire. Sick children were also
tested for dengue infection using a dengue duo rapid test. Their parents were advised
to take their children to see a doctor for further investigation and treatment. One week
later, the parents were asked for a final diagnosis of their sick children via phone.
60 % of the 83 investigated sick children received self-medication and recovered without
seeing a doctor. The most common clinical signs were headache (64%). No dengue
infection results were found. The top cause of acute febrile illness was the common cold
(36%).
Most parents preferred to give self-medication, maybe due to most students not
having serious illnesses. No positive dengue test results were possibly due to the low
incidence of infection. Understanding pattern of acute febrile illness in this population
would greatly help to prevent disease outbreaks in schools and communities.
Description
oint International Tropical Medicine Meeting 2014 3D perspectives on tropical medicine: drivers, diversity and determination the 8th seminar on food-and water-borne parasitic zoonoses: 2-4 December 2014: Centara Grand Bangkok Convention Center at Central World, Bangkok, Thailand. Bangkok: Faculty of Tropical Medicine, Mahidol University; 2014. p. 268.