Evaluation of gonorrhea surveillance system in primary care unit of Khon Kaen Hospital, 2018

Abstract

          At present, the situation of gonorrhea is likely to increase. The disease surveillance system is therefore important. But there was a very low report of gonorrhea in primary care units. This research studied data on patients admitted to primary care units of Khon Kaen Hospital who were diagnosed according to the definition of gonorrhea group under ICD-10 during January 1 - December 31, 2018 and interviewed the participants. Provides services in primary care units. A review of the medical records of 480 patients included in the study, comprising 197 patients diagnosed with gonorrhea and 283 patients with adverse reactions, was found to be suspected cases. 188 cases, 28 cases, 1 confirmed case by surveillance system. The sensitivity was relatively low only 31.80 percent. Had a positive predictive value of 100 percent, timely reporting, and 100% of the data found. Have a good representation the accuracy of the report was 75.36 percent. The qualitative characteristics obtained from the interview it was found that 1) the information from the disease surveillance system was used for planning activities for disease prevention and control. 2) Most of the responsible people understand and accept the surveillance system and can easily report into the system. Because the data can be extracted from the patient record system of the service unit and only a few additional records are recorded according to the report form in the No.506 program. 3) Good flexibility. 4) But lacks the stability of the system because it can't work interchangeably if the person responsible for the job is absent. Relatively low sensitivity because most are reported based on a physician's diagnosis or ICD-10. They are not reported as symptomatic by definition in a surveillance system and without laboratory confirmation. Therefore, from the assessment results, it is found that the reporting of the gonorrhea surveillance system is useful in the surveillance of outbreaks in the primary care unit, but the sensitivity of diagnosis should be improved.