An evaluation of hand, foot and mouth disease surveillance in a government hospital of Bangkok Metropolitan, 2015

Abstract

Background: Hand, foot, and mouth disease [HFMD] is a clinical syndrome characterized by oral enanthem and a macular, maculopapular or vesicle rash of hand and feet include fever. Its serious complications leading to death can occur especially in infants and young children. Thus, the Communicable Disease Department of Health Department Bangkok Metropolitan Administration conducted the surveillance evaluation of HFMD in a hospital with aim to describe the quantitative and qualitative attributes and to improve system.
Methods: A cross- sectional study was conducted. We reviewed medical record of HFMD that reported to the national notifiable disease surveillance system and we reviewed medical records which similar symptom of HFMD in both OPD and IPD during 1 January – 31 March 2016. We also interviewed the hospital staff who were stakeholders of the HFMD surveillance including medical doctors, nurses, public health technicial officers and medical record librarian.
Results: Total 71 cases were met case definition of the surveillance but only 51 cases were reported in the the surveillance. The sensitivity of HFMD surveillance was 71.83%. The positive predictive value was 100%. The data accuracy in the surveillance system was 100% for name and gender but the age was 98% correctly. The representativeness was good in gender and median age. Among 51 cases in the surveillance had 88% for timeliness of reporting. Overall HFMD surveillance was good in flexibility, stability and usefulness among hospital staff’s opinion.
Conclusions: Overall, the attributes of quantitative of the hospital was good. The hospital must be improved by strentening valid onset recording. This was aimed to know the duration of patients infected till treatment and chance of infection spread to others.