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目的了解常熟市预防接种后不良反应的发生情况,客观评价疫苗免疫的安全性,以制定科学免疫策略。方法对常熟市2008年发生的疑似预防接种异常反应进行分析。结果2008年报告疑似预防接种异常反应238例中一般反应201例,占84.45%;异常反应35例,占14.71%;偶合症2例,占0.84%。报告发生反应的疫苗品种共15种,各种疫苗总AEFI发生率为71.09/10万,全细胞百白破、无细胞百白破的疑似预防接种异常反应发生率最高,分别为546.45/10万和333.66/10万。结论在实施接种前,应当告知受种者或者其监护人所接种疫苗的品种、作用、禁忌、不良反应以及注意事项,询问受种者的健康状况以及是否有接种禁忌等情况,并如实记录告知和询问情况。加强预防接种门诊规范化建设、增加人员配备和强化预防接种规范操作。
Objective To understand the incidence of adverse reactions after vaccination in Changshu City and objectively evaluate the safety of vaccine immunization in order to formulate a scientific immunization strategy. Methods The abnormal reaction of suspected vaccination occurred in Changshu City in 2008 was analyzed. Results In 2008, there were 201 cases (of 84 cases), of which 238 cases were abnormal. There were 35 cases of abnormal reaction (14.71%) and 2 cases of complications (0.84%). A total of 15 kinds of vaccine were reported, the total AEFI of various vaccines was 71.09 / 100 000, and the highest incidence of suspected immunization inoculation was observed in all-cell Dyspnea and acellular dodder (546.45 / 100 000 respectively) And 333.66 / 100,000. Conclusions Before the vaccination, the species, effects, contraindications, adverse reactions and precautions of vaccinated persons or their guardians should be informed about the health status of the affected persons and whether there is contraindication for vaccination, etc., and truthful record is informed Ask the situation. Strengthen the standardization of vaccination clinics, increase staffing and strengthen the practice of vaccination.