论文部分内容阅读
目的:探讨预防接种异常反应发生的规律,评价疫苗的安全性,改善预防接种的服务质量,增强公众对预防接种的信心。方法:对2008~2011年吉林市疑似预防接种异常反应监测系统报告的453例接种一类疫苗后发生异常反应的病例进行统计分析。结果:453例疫苗接种异常反应病例中一般反应378例,异常反应53例,无疫苗事故;百白破无细胞疫苗报告例数最多为213例,占47.0%;≤l岁组异常反应例数为216例,占总例数的82%,2~6岁组72例,占15.9%;就医后痊愈者136例,占30.0%;好转者312例,占68.9%。结论:吉林市疾病预防控制中心自2008年使用AEFI监测系统以来,AEFI检测的敏感性明显提高,异常反应的防治效果显著。由于异常反应的发生原因是多方面的,还应从加强疫苗质量的监管、提高接种人员的培训等方面入手,进一步降低异常反应的发生率。
Objective: To study the regularity of abnormal response to vaccination, evaluate the safety of vaccines, improve the service quality of vaccination and enhance public confidence in vaccination. Methods: 453 cases of suspected abnormalities in vaccination reported in Jilin City from 2008 to 2011 were retrospectively analyzed. Results: There were 378 cases of general reaction and 53 cases of abnormal reaction in 453 cases of vaccination. There were no cases of vaccine; the number of cases of bipolar cell-free vaccine was up to 213 cases (47.0%); the number of cases of abnormal reaction 216 cases, accounting for 82% of the total number of cases, 2 to 6 years old group of 72 cases, accounting for 15.9%; cured after treatment, 136 cases, accounting for 30.0%; 312 cases improved, accounting for 68.9%. Conclusion: Since the AEFI monitoring system was used in Jilin Center for Disease Control and Prevention in 2008, the sensitivity of AEFI test was significantly improved and the effect of prevention and treatment of abnormal reaction was significant. As abnormal reactions occur in many ways, we should further reduce the incidence of abnormal reactions by strengthening the supervision of vaccine quality and training of vaccinators.