94例疑似预防接种异常反应的监测分析.docVIP

精品论文 参考文献 94例疑似预防接种异常反应的监测分析 吴列惜 陈晓荣 李红霞 邱少聪 　　（广东揭阳市揭东县疾病预防控制中心 515500） 　　【摘要】目的 了解揭阳市揭东县2012-2013年疑似预防接种异常反应（AEFI）发生情况，评价AEFI监测系统运转情况。方法 对揭东县2012-2013年上报中国免疫规划监测信息管理系统数据收集的资料，采用描述流行病学方法对监测资料进行分析。结果 揭阳市揭东县2012-2013年共报告AEFI 94例，无死亡病例，男、女性别比为1.29:1，报告发病率为 16.84／万剂次，其中一般反应60例（占63.83﹪），异常反应33例（占35.11﹪），偶合症1例（占1.06﹪）。临床诊断以发热、红肿、硬结较多，占总数的71.28﹪，其次为过敏反应占17.02﹪，全县15个预防接种点只有12接种点有报告，报告覆盖率为80.00﹪。结论 揭东2012-2013年AEFI以一般反应为主，未发生严重异常反应，AEFI监测覆盖率和灵敏度有待提高；同时必须加强业务培训，规范化门诊建设，冷链管理等措施，才有利于提高预防接种服务质量。 　　【关键词】预防接种 异常反应 监测 　　【中图分类号】R186 【文献标识码】A 【文章编号】2095-1752（2014）12-0028-02 　　【Abstract】 Objective The report China immunization monitoring information management system 2012-2013 Jiedong County collected data. With the method of descriptive epidemiology analysis of monitoring data. Jiedong County of Jieyang city 2012-2013 adverse events following immunization (AEFI) occurrence, evaluation of AEFI monitoring system. Methods The report China immunization monitoring information management system 2012-2013 Jiedong County collected data. With the method of descriptive epidemiology analysis of monitoring data.Results Jiedong County, Jieyang City, 2012-2013 AEFI were reported in 94 cases, no death case, male, female gender ratio is 1.29:1, the report incidence rate was 16.84 per million doses, including 60 cases of general reaction (63.83﹪), abnormal reaction in 33 cases (35.11﹪), 1 cases of coincidence (1.06﹪). Clinical diagnosis on fever, redness, induration, accounting for 71.28 of the total%, followed by allergic reactions accounted for 17.02%, the county 15 vaccination points only 12 vaccination reports, report 80 coverage%. ConclusionJiedong 2012-2013 AEFI to the general reaction, no serious abnormal reaction, AEFI monitoring coverage rate and sensitivity to be improved; at the same time, we must strengthen the business training, standardized outpatient service building, cold chain management measures, can help impro