Reporting system evaluation of toxic effects of pesticides in 5 selected hospitals, Nong Bua Lam Phu province, Thailand, 2017

Authors

  • Pusanisa Chaladlard Division of Occupational and Environmental Diseases, Department of Disease Control
  • Thanawadee Chantian Division of Occupational and Environmental Diseases, Department of Disease Control
  • Hirunwut Praekunatham Division of Epidemiology, Department of Disease Control, Ministry of Public Health
  • Wanna Boranintra Division of Occupational and Environmental Diseases, Department of Disease Control
  • Pisakan Vareekajornkiad Division of Occupational and Environmental Diseases, Department of Disease Control
  • Khwannapa Uthaithong Division of Occupational and Environmental Diseases, Department of Disease Control
  • Borworn Mitmark Division of Occupational and Environmental Diseases, Department of Disease Control
  • Wirongrong Kanjana Division of Occupational and Environmental Diseases, Department of Disease Control
  • Pohnthip Chantanaket Division of Occupational and Environmental Diseases, Department of Disease Control
  • Tadsaphorn Phookjit Division of Occupational and Environmental Diseases, Department of Disease Control
  • Supansa Suriya Division of Epidemiology, Department of Disease Control, Ministry of Public Health
  • Thawatchai Raksanon Office of Disease Prevention and Control region 8th Udonthani, Ministry of Public Health
  • Kritsana Sugawong Office of Disease Prevention and Control region 8th Udonthani, Ministry of Public Health

Keywords:

System evaluationr, pesticide, HDC, 43-folde

Abstract

Backgrounds: Recently, Bureau of Occupational and Environmental Diseases analyzed the situation of acute toxic effects from pesticide poisoning from 43-folder reporting system (HDC service Health Data Center: HDC). Due to concern of data quality, an evaluation of the reporting system was performed in Nong Bua Lum Phu province. The study aims to examine reporting procedures of toxic effects of pesticides in 5 selected hospitals, to evaluate quantitative and qualitative attributes and to provide recommendations for improving data quality.
Methods: We reviewed medical records of patients receiving medical treatment in the study hospitals during January 1–December 31, 2017. A case with toxic effect of pesticides is defined as a patient having history of exposure, and subsequently, developing any symptoms related to toxic effects of pesticides. However, any patients getting sick resulting from pesticides poisoning were excluded. Criteria for reporting is the patient on HDC with the ICD-10 coding as T60.0-T60.9 for the principal diagnosis and as X48 for the external cause. We interviewed 25 people as key stakeholders for qualitative study and reviewed 126 medical records for quantitative study.
Results: Of 126, 101 medical records met case definition. Sensitivity of reporting ranged between 0% and 100%; 2 district hospitals were found zero reporting. However, positive predictive value (PPV) were found to be 100% in 2 study hospitals, 50% in 1 hospital, while PVP from the 2 district hospitals cannot be evaluated. According to qualitative attributes, simplicity was fair, but ICD-10 coding was somewhat complicated. The system revealed good acceptability and stability although the policy could be changed if the chief executive level changed.
Conclusions and discussions: The wide range of the sensitivity might be caused by an error in diagnosis and ICD- 10 coding. Therefore, implementation of guideline for history taking, diagnosis and ICD-10 coding is necessary for improving data quality for surveillance.

References

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Published

2024-04-27

How to Cite

Chaladlard, P., Chantian, T., Praekunatham, H., Boranintra, W., Vareekajornkiad, P., Uthaithong, K., Mitmark, B., Kanjana, W., Chantanaket, P., Phookjit, T., Suriya, S., Raksanon, T., & Sugawong, K. (2024). Reporting system evaluation of toxic effects of pesticides in 5 selected hospitals, Nong Bua Lam Phu province, Thailand, 2017. Weekly Epidemiological Surveillance Report, 50(17), 257–263. retrieved from https://he05.tci-thaijo.org/index.php/WESR/article/view/1457

Issue

Vol. 50 No. 17 (2019): 17th week

Section

Original article

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