รายงานสถานการณ์ วิเคราะห์รายงานสอบสวนวัณโรคดื้อยาหลายขนานชนิดรุนแรงมาก (XDR-TB) ของทีมสอบสวนโรคส่วนกลาง Joint Investigation Team หลังจากที่มีการประกาศเป็นโรคติดต่ออันตราย ภายใต้พระราชบัญญัติโรคติดต่อ 2558 และสังเคราะห์รูปแบบของการเขียนรายงานสอบสวนโรค XDR-

Abstract

Background: Extensively drug–resistant tuberculosis (XDR-TB) was included as the dangerous communicable disease under the Communicable Diseases Act of 2015 and officers responsible for the disease investigation must write a report to the Department of Disease Control. However, the Act does not specify the guidelines for writing an XDR-TB investigation report. Developing a model for writing the report for those responsible is key to the accuracy and completeness of the report content. This in turn will better lead to the analysis of appropriate disease prevention and control policies.
Methods: The study model was divided into 4 main methods, namely a descriptive epidemiological study, literature review of the XDR-TB factors contributing of health changes, synthesis of XDR-TB investigation report writing model, and evaluate of the reports.
Results: Between January 2018 and December 2019, the central JIT collected 24 disease investigation reports. Based on the literature review, 41 variables were identified to be associated with XDR-TB. When combined with the principles of disease investigation report writing, these can then be divided into six components: background, investigation results, disease control activities that have been carried out, limitations in disease investigation, planning and suggestions, and summarizing the results of the XDR-TB investigation for the executive committee. From analysis of the disease investigation reports, as for the background component, it was found identified in majority of the reports. A variable specifying the notification time and specifying the time to go to the area to investigate the disease were found in only 17% and 8% of the reports, respectively. As for the prevention and control activities that have been carried out and recommendations, these were found in every report. However, problems and limitations in the investigation variable was only found in 25% of reports.
Conclusions: Guidelines for writing an investigation report on XDR-TB can be divided into six parts. Using this approach enables the JIT to analyze the data for risk factor identification and lead to timely and effective public health control and prevention measures. The JIT can also adjust for any additional or unnecessary factors depending on the circumstances and at their discretion.