Evaluation of the Dengue Fever Surveillance System at Samutsakhon Hospital Samutsakhon Province in 2020

Abstract

Evaluation of the dengue fever surveillance system this time The objective is to study the reporting process. Hospital dengue fever Study the quantitative and qualitative characteristics of surveillance systems. This evaluation evaluated the surveillance system both quantitatively and qualitatively. Quantitative assessment Evaluated by collecting data on 240 reported cases of dengue fever from the 506 reporting system at Samutsakhon Hospital from outpatient and inpatient medical records with a diagnosis of the disease according to the specified ICD-10 code. Selected data from 5 January– October 31, 2020 Then it was analyzed to find sensitivity and positive predictive value. Qualitative assessment Evaluated by interviewing responsible persons and those involved in the surveillance system, grouping the obtained data and using content analysis to summarize important contents. The results of the qualitative study found that there were 102 patients who met the definition of dengue fever (definition 1), of which 506 were reported, 74 cases, accounting for a sensitivity of 72.54 percent, and there were 506 reported patients. 240 cases, accounting for a positive predictive value of 30.83 percent, but when adding a group of patients who did not match According to the definition of the Bureau of Epidemiology, but with Dengue NS1Ag Positive results (definition 2), it was found that there were patients according to The newly defined definition totaled 179 cases, 506 cases were reported, 148 cases, accounting for a sensitivity of 82.68 percent, and there were 240 cases reported in the reporting system of 506 cases, accounting for a positive predictive value of 61.66 percent. Timely reporting within 7 days, 72.5 percent. The results of the qualitative study found that administrators accepted the disease surveillance system. The situation is regularly monitored. The reporting system is designed to facilitate operators. Responsibilities are clearly assigned. The hospital regularly encourages staff to attend epidemiological training. This evaluation of the surveillance system has recommendations, including: Practitioners should be required to complete assessments or record clinical symptoms in medical records. To be useful in using historical data Support other personnel to receive training to increase awareness of disease surveillance. and the hospital's overall disease surveillance system should be reviewed.