资源描述:
《37例儿童预防接种不良反应的监测分析及预防对策(共享)》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、37例儿童预防接种不良反应的监测分析及预防对策吴美富(北京市大兴区旧宫医院100076)摘要:目的了解旧宫儿童接种疫苗后常见的不良反应的现况和影响因素。方法分析旧宫医院2010-2014年监测旧宫辖区的AEFI数据,将其按照一般反应、异常反应、偶合症进行统计分析。结果18种疫苗的预防接种中,记录11种疫苗发生疫苗不良反应37例,其中AEFI发生率为16.64/10万剂次。一般反应23例,异常反应9例,一般反应和异常反应同时发生的5例,偶合症监测为0例。1-2岁发生的AEFT人数最多20人,构成比占54.05%,主要和接种第四剂
2、次DPT和第一剂次MMR有关,出现发热症状的17例,83.33%的儿童均接种了DPT,发生皮疹的14例,71.43%的儿童接种含麻类疫苗。接种流感疫苗的AEF1的发生率居首。结论严格规范接种流程,避免补种与多类疫苗、有价疫苗同时接种,建立完善的AEFI监控系统,建立有效的疫苗不良反应救济体系,有效防控疫苗不良反应的发生。关键词:预防接种;AEFI;分析Analysisandpreventionmeasuresofmonitoringadversereactionofvaccinationin37childrenWUMeifuJ
3、iugonghospitalofBeijingDaxingDistrict100076,China[Abstract]ObjectiveToknowthestatusandinfluencialfactorsofchildhoodvaccinationcommonadversereactionsinJiugong•MethodDescriptiveanalysiswasappliedonthemonitoringdataofadversereactionsfollowingimmunization(AEFI)from2010t
4、o2014injiugonghospitai•Al1theacceptedreportswereclassifiedasnon—serious,seriousrcactionoropportunitycasesaccordingtothesymptomsemdmedicalrecords.ResuItsthenumberoftheadversereactionis37casesabout11vaccinevaccinein18vaccinevaccinationrecordoccurred,theincidenceofAEFI
5、was16.64/10milliondoses.23casesofgeneralreaction,abnormalreactionin9cases,5casesofnon—seriousreactionandseriousrcactiontooccuratthesametime,opportunityinmonitoringof0cases.ThenumberofAEFIoccuredinupto20people,whichwas54.05%during1-2years,relatedmainlywiththefourthdo
6、sesofDPTandthefirstdoseofMMR,17caseshadsymptomsoffever,83.33%ofthechildrenwerevaccinatedwithDPT,14caseofrash,71.43%ofchildrenwithhempvaccineinoculation.ThetoprateofoccurrenceofinflucnzavaccinationinAEFI.ConclusionWeshouldregulatestrictlytheinoculationprocess,avoidth
7、ereseedingandmultitypeofvaccine、non-basicimmunizationvaccineareinoculatedsimultaneously,theestablishmentofAEF1monitoringsystemperfect,establishthereliefsystemofadversereactionsoccurredintheeffectivevaccinetocontrolandreduceeffectivelyAEFI.Keywordsvaccination;AEFI;an
8、alysis控制传染性疾病最主要的手段就是预防,疫苗已经被证实是控制和预防传染病的有力武器,也是减少药物使用的一个手段⑴。我国每年出生约2000万新生儿,0岁〜7岁的儿童最少进行11次预防接种,成人在某些情况下仍须预防接种⑵。随着预防接种范围的扩大,疫苗种类的增多,人们对预防