辽宁省锦州市太和区新入托、入学儿童预防接种证查验情况分析.docVIP

辽宁省锦州市太和区新入托、入学儿童预防接种证查验情况分析 　　【摘要】 目的：了解辽宁省锦州市太和区新入托、入学儿童预防接种情况，减少漏种，提高儿童免疫规划疫苗全程覆盖率。方法：选取2015年9月对锦州市太和区所有新入托、入学儿童2242名进行查验预防接种证。查验人员由培训后的幼儿园、学校校医和预防接种医生组成，负责查验儿童持证、接种情况，以自行设计的调查表，由负责查验的专业人员当场做好记录并进行分析。结果：新入托儿童562名，持证562名（100%），完成国家基础免疫疫苗512名（91.1%），完成加强免疫疫苗496名（88.3%）；新入学儿童1680名，无证儿童84名（5.0%），完成基础免疫1420名（84.5%），完成加强免疫850名（50.6%）。国家基础免疫漏种疫苗主要有乙肝疫苗、脊髓灰质炎疫苗、百白破疫苗和麻风疫苗，加强免疫漏种主要是流脑A+C和白破二联。结论：辖区内新入托、入学的适龄儿童在入托、入学前存在基础免疫和加强免疫漏种及无证现象，对入托、入学前儿童接种管理还有待加强，对未完成国家免疫规划的新入托、入学儿童应采取补种措施。 　　【关键词】 新入托； 入学儿童； 预防接种； 查验 　　【Abstract】 Objective：To understand the status of children vaccination among new comers in kindergarten and primary schools，and to provide evidence for reducing vaccine leakage and improving child immunization programs in Taihe District Jinzhou City of Liaoning Province.Method：In September 2015，all new comers in kindergarten and primary schools of 2242 cases were checked of their vaccination cards by doctors in kindergartens，schools and community.They checked children vaccination cards，the vaccination status was given self-designed questionnaire in the spots，the data was analyzed.Result：562 new kindergarten children，100% of them hold the vaccination cards，among them，512 children （91.1%）had complete basic immunization，496 children （88.2%） finished strengthen immune.1680 new primary school children，84 children （5.0%）had no vaccination card，1420 children （84.5%）had complete basic immune，850 children （50.6%）finished strengthen immune.Basic vaccine leakage included hepatitis B，polio，leprosy and DTAP，strengthen vaccine leakage included tetanus-diphtheria combined vaccine and meningitis A+C vaccine.Conclusion：Vaccine leakage including primary immunization，strengthen immunization and no vaccine card were found among new comer children in kindergartens and primary schools.Vaccine related management should be strengthened.For children failure in complete national immunization programs，revaccination should be taken to avoid vaccine leakage. 　　【Key words】 New comer； Childre