预防接种单位客户端个案在疫苗接种率评估中的应用研究
发布时间：2018-08-27 13:26
【摘要】：目的探索利用预防接种单位客户端(Immunization Unit Client,IUC)中的预防接种个案,评估国家免疫规划疫苗(National Immunization Programme Vaccine,NIPV)接种率的应用条件。方法采用多阶段随机抽样的方法,在2个省8个县(市,下同)开展调查,每个调查县随机抽取5个乡(镇、街道,下同)。调查被抽取的40个乡内2009年9月1日~2011年8月31日出生儿童预防接种情况(以预防接种证为准),并备份各乡辖区内IUC数据库,利用IUC督导工具"数据质量模块"对IUC数据质量进行评价,采用统计产品与服务解决方案17.0软件进行统计分析。结果IUC估算覆盖率为91.25%,除E县外,其余各县估算覆盖率均80%。核查的1680名儿童的建预防接种证率为100.00%,IUC儿童录入率99.58%,8个县NIPV的一致率最低为87.98%。3个县NIPV调查合格接种率高于IUC个案统计合格接种率,NIPV调查合格接种率低于IUC个案统计合格接种率的5个县,除B县3剂口服脊髓灰质炎减毒活疫苗IUC个案统计合格接种率为99.04%,调查合格接种率为96.67%[95%可信区间(Confidence Interval,CI):94.24%~99.10%),第4剂百日咳-白喉-破伤风联合疫苗分别为97.41%、94.29(95%CI:91.15%~97.43%),首剂含麻疹成份疫苗分别为98.03%、95.24%(95%CI:92.36%~98.12%),首剂甲型肝炎减毒活疫苗分别为97.30%、94.76%(95%CI:91.75%~97.77%),差异有统计学意义外,其余县NIPV调查合格接种率与IUC个案统计合格接种率的差异均无统计学意义(P0.05)。结论当IUC估算覆盖率80%,不同NIPV接种剂次一致率90%时,可用IUC中的个案评估NIPV接种率。
[Abstract]:Objective to evaluate the application conditions of national immunization planning vaccine (National Immunization Programme Vaccine,NIPV) vaccination rate by using the cases of (Immunization Unit Client,IUC in the client side of vaccination unit. Methods Multi-stage random sampling was carried out in 8 counties in 2 provinces. Five townships (towns, streets, the same below) were randomly selected from each county. From September 1, 2009 to August 31, 2011, the vaccination status of children born in 40 townships was investigated, and the IUC database was backed up. The data quality of IUC is evaluated by the IUC supervisory tool "data quality module", and the statistical product and service solution software 17.0 is used to carry on the statistical analysis. Results the estimated coverage rate of IUC was 91.25, except E county, the estimated coverage rate of all other counties was 80. The rate of establishing vaccination certificate for 1680 children verified was 99.58%. The lowest rate of conformity of NIPV in 8 counties was 87.98.3 counties. The rate of qualified vaccination in NIPV survey was higher than that in IUC cases. The rate of qualified vaccination in NIPV survey was lower than that in IUC case survey. 5 counties with qualified coverage rates, In addition to county B, 3 doses of live oral poliomyelitis attenuated vaccine (IUC) accounted for 99.04 doses, the rate of qualified vaccination was 96.67% [95% confidence interval (Confidence Interval,CI): 94.24 99.10%), and the fourth dose of combined vaccine of pertussis diphtheria and tetanus was 97.4194.29 (95CIW 91.150.43%), and the first dose contained measles. The constituent vaccines were 98.03% and 95.24%, respectively. The first dose of live attenuated hepatitis A vaccine was 97.30% and 94.76% (95% CI: 91.75% 97.77%, respectively). The difference was statistically significant. There was no significant difference between the rate of qualified vaccination in NIPV survey and the rate of qualified vaccination in IUC cases in other counties (P0.05). Conclusion when IUC estimates the coverage rate of 80% and the second consistency rate of different NIPV inoculants is 90%, the case of IUC can be used to evaluate the rate of NIPV vaccination.
【作者单位】： 中国疾病预防控制中心免疫规划中心;
【分类号】：R186
[Abstract]:Objective to evaluate the application conditions of national immunization planning vaccine (National Immunization Programme Vaccine,NIPV) vaccination rate by using the cases of (Immunization Unit Client,IUC in the client side of vaccination unit. Methods Multi-stage random sampling was carried out in 8 counties in 2 provinces. Five townships (towns, streets, the same below) were randomly selected from each county. From September 1, 2009 to August 31, 2011, the vaccination status of children born in 40 townships was investigated, and the IUC database was backed up. The data quality of IUC is evaluated by the IUC supervisory tool "data quality module", and the statistical product and service solution software 17.0 is used to carry on the statistical analysis. Results the estimated coverage rate of IUC was 91.25, except E county, the estimated coverage rate of all other counties was 80. The rate of establishing vaccination certificate for 1680 children verified was 99.58%. The lowest rate of conformity of NIPV in 8 counties was 87.98.3 counties. The rate of qualified vaccination in NIPV survey was higher than that in IUC cases. The rate of qualified vaccination in NIPV survey was lower than that in IUC case survey. 5 counties with qualified coverage rates, In addition to county B, 3 doses of live oral poliomyelitis attenuated vaccine (IUC) accounted for 99.04 doses, the rate of qualified vaccination was 96.67% [95% confidence interval (Confidence Interval,CI): 94.24 99.10%), and the fourth dose of combined vaccine of pertussis diphtheria and tetanus was 97.4194.29 (95CIW 91.150.43%), and the first dose contained measles. The constituent vaccines were 98.03% and 95.24%, respectively. The first dose of live attenuated hepatitis A vaccine was 97.30% and 94.76% (95% CI: 91.75% 97.77%, respectively). The difference was statistically significant. There was no significant difference between the rate of qualified vaccination in NIPV survey and the rate of qualified vaccination in IUC cases in other counties (P0.05). Conclusion when IUC estimates the coverage rate of 80% and the second consistency rate of different NIPV inoculants is 90%, the case of IUC can be used to evaluate the rate of NIPV vaccination.
【作者单位】： 中国疾病预防控制中心免疫规划中心;
【分类号】：R186
【共引文献】
相关期刊论文 前9条
1 卢东兴;樊素丽;王玉芳;;兴和县2004-2008年间五苗常规免疫接种率监测与评价[J];包头医学院学报;2013年06期
2 陈杨伟;王清华;羊晶晶;;2011年福州市常规免疫接种率评价及影响因素分析[J];应用预防医学;2013年06期
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