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[目的]通过对北海市辖区加强对国家免疫规划疫苗(Ⅰ类疫苗):卡介苗(BCG)、乙型肝炎疫苗(HBV)、脊髓灰质炎减毒活疫苗(OPV)、百白破疫苗(DTP)、麻疹减毒活疫苗(MV)即“五苗”使用的规范化管理,降低了疫苗损耗率的实践,探讨降低疫苗损耗率的对策。[方法]根据广西区《2007年全区免疫规划工作质量综合评估方案》中免疫规划管理部分:疫苗及一次性自毁型注射器管理与使用的检查要求将该市2005年初以来把Ⅰ类疫苗使用损耗率列入免疫规划常规接种报告和市辖区免疫规划工作综合目标管理考核内容,定期检查资料进行描述性分析。[结果]调查的市疾病预防控制中心(CDC)和16个医院、卫生院预防接种门诊中,2007年Ⅰ类疫苗的损耗率由原来的4种疫苗超标下降至控制指标以内,计免“五苗”覆盖率保持在94.3%。[结论]该市辖区通过加强对Ⅰ类疫苗的使用管理,既保证了疫苗接种质量和接种率,又使Ⅰ类疫苗损耗系数达到了广西区的要求。
[Objective] The purpose of this study was to investigate the feasibility of vaccinating the national immunization program vaccine (Class Ⅰ vaccine) against BCG, HBV, OPV, DTP (DTP) ), Measles live attenuated vaccine (MV) that is, “five seedling” use of standardized management, reduce the rate of vaccine consumption practice, to explore ways to reduce the vaccine consumption rate. [Method] According to the regulation of immunization planning in the “2007 Comprehensive Evaluation Plan of Immunization Program Quality in Guangxi Region”, the inspection and management of vaccines and disposable self-destructing syringes required that the type I vaccine be used in the city since the beginning of 2005 The rate of loss is included in routine vaccination reports of immunization programs and the comprehensive target management assessment of immunization planning in municipal districts, and the materials are regularly inspected for descriptive analysis. [Results] In the CDC and 16 vaccination clinics of hospitals and clinics in the survey, the loss rate of Class I vaccine in 2007 dropped from the original 4 kinds of vaccines to the control index, Five seedlings "coverage remained at 94.3%. [Conclusion] By strengthening the use and management of class I vaccine in this area, not only the vaccination quality and vaccination rate were guaranteed, but also the loss coefficient of class I vaccine reached the requirements of Guangxi region.