2008-2013年四川省泸州市疑似预防接种异常反应监测分析

发布时间：2018-04-05 12:45

本文选题：疑似预防接种异常反应　切入点：不良反应　出处：《现代预防医学》2015年04期

【摘要】：目的了解泸州市疑似预防接种异常反应(AEFI)监测系统报告的AEFI的发生特征,评价AEFI监测系统运行质量。方法对疑似预防接种异常反应信息管理系统报告的信息进行评估和整理,并用描述性流行病学方法,对泸州市2008-2013年报告的AEFI数据进行分析。结果泸州市2008-2013年共报告AEFI病例461例,其中一般反应388例占84.16%,异常反应45例占9.76%,偶合症26例占5.64%,接种事故和心因性反应各1例分别占0.22%。涉及疫苗28种,23价肺炎疫苗发生率最高为2.75/万。全市AEFI病例48 h内及时报告率为96.53%,48 h内调查率均为100.00%。AEFI病例在24 h内发生的最多(396例),占85.99%。结论泸州市2008-2013年AEFI监测系统运行质量逐年提高,疫苗安全性和预防接种服务质量较高。选用免疫效果好且安全性高的疫苗,加强医务人员培训,并严格执行三查七对制度,可减少AEFI病例的发生。应完善城乡二级网络,提高AEFI病例报告的灵敏度,做到及时发现和报告,并妥善处置。
[Abstract]:Objective to investigate the occurrence characteristics of AEFI in Luzhou City and evaluate the quality of AEFI monitoring system.Methods the information reported by the information management system of suspected vaccination abnormal reaction was evaluated and collated, and the AEFI data of Luzhou city from 2008 to 2013 were analyzed by descriptive epidemiological method.Results A total of 461 cases of AEFI were reported in Luzhou from 2008 to 2013, of which 388 cases were general reactions (84.16), 45 cases were abnormal reactions (9.76%), 26 cases were incidental diseases (5.64%), 1 case was inoculation accident and 1 case was psychogenic reaction (0.22%).The highest incidence rate of 28 kinds of 23 valency pneumonia vaccine was 27.5 / 10 000.The rate of timely reporting of AEFI cases in 48 hours was 96.53 and the investigation rate within 48 hours was 396 cases of 100.00%.AEFI cases occurred in 24 hours, accounting for 85.99%.Conclusion the operating quality of AEFI surveillance system in Luzhou City from 2008 to 2013 was improved year by year, and the quality of vaccine safety and preventive inoculation service was higher.Selecting the vaccine with good immune effect and high safety, strengthening the training of medical personnel, and strictly carrying out the system of three checks and seven pairs, can reduce the incidence of AEFI cases.It is necessary to improve the secondary network of urban and rural areas, improve the sensitivity of AEFI case report, detect and report in time, and deal with it properly.
【作者单位】：泸州市疾病预防控制中心;
【分类号】：R186

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