Completeness of Registration among New and Relapse Tuberculosis Patients in Pathum Thani Province, Fiscal Year 2019

Abstract

This study was designed as a cross-sectional study, aimed to study registered completeness of new and relapse tuberculosis patients, Pathum Thani province. The representative sample was registered tuberculosis patients for treatment in the National Tuberculosis Information Program (NTIP) online system of hospitals under the Ministry of Public Health, Pathum Thani province compared to ICD-10, receiving Rifampicin and Isoniazid, and laboratory results including the results of AFB, X-pert, culture-positive, and pathological examination results.  Case record form was developed by the researchers, the data were collected by medical records review. Descriptive statistics were used to analyze the data such as percentages. The results indicated that new and recurrent tuberculosis patients registered 665 cases in the NTIP online system and not registered for 151 cases. The causes of non registering were registration in other clinics in hospitals (39.1%), registered in other hospitals (2.6%), died before registration (7.3%), recording  ICD- 10 without TB diagnosis (12.6%), HIV cases receiving LTBI regimen (3.3%), contacted TB case and receiving LTBI regimen (29.8%), and 5.3% changing diagnosis after receiving Rifampicin and Isoniazid. The diagnosis was changed to be pneumonia, pharyngitis, pneumothorax, and bronchitis. Therefore, to prevent and control the disease should focus on checking the information of receiving the service by linking the data between medical records, ICD-10 data, Rifampicin and Isoniazid receiving of the pharmaceutical section and laboratory data. Moreover, the results of AFB, X-pert, and culture-positive should be considered for registration.