Surveillance system evaluation of melioidosis in Surat Thani province, Thailand, 2014

Abstract

This cross-sectional survey study of surveillance evaluation aimed to determine characteristic of quantitative and qualitative attributes of Melioidosis. The population of study was patients were diagnosed with Meliodosis and related diseases among the hospitals in Surat Thani during 1 January-31 December, 2014. The results revealed that the total hospital had the sensitivity at moderate level (60.42 %). But the predictive value positive of the reporting at good level (85.29 %). On the other hand, 80 percentage of all hospitals had low sensitivity of reporting, such as Koh Samui hospital (43.75 %), Kiriratnikom hospital (20.00 %) Phunpin and Khiansa hospital (0 %). But Surat Thani hospital had good sensitivity of reporting. Sixty percent of hospital had good predictive value, such as Kiriratnikom hospital (100 %), Surat Thani hospital (87.50 %), Koh Samui hospital (77.78 %). By the way, Phunpin and Khiansa hospital can't be evaluated because there had no reported cases in 506 surveillance report. The representative demonstrated that gender, age, date of onset, and risk areas can represent to the data. The accuracy of type of patient, nation, gender, address and age was good (>90%) but the accuracy of onset was low (60 %). The result of qualitative features showed that surveillance protocol was not complicated. The staff recognized the importance and participated in the surveillance system. The cost of operation was not high. Most hospitals have analyzed the information from the surveillance. But the staffs in some hospitals were not recognized that Melioidosis is the notifiable disease. Then Provincial Health Office held a meeting to clarify of the Melioidosis surveillance system for relevant staffs.