2010-2013年新疆克拉玛依市疑似预防接种异常反应监测系统运转情况及监测结果分析[J]. 疾病监测, 2015, 30(1): 71-74. DOI: 10.3784/j.issn.1003-9961.2015.01.018
引用本文: 2010-2013年新疆克拉玛依市疑似预防接种异常反应监测系统运转情况及监测结果分析[J]. 疾病监测, 2015, 30(1): 71-74. DOI: 10.3784/j.issn.1003-9961.2015.01.018
Performance of adverse events following immunization surveillance system in Karamay, Xinjiang, 2010-2013[J]. Disease Surveillance, 2015, 30(1): 71-74. DOI: 10.3784/j.issn.1003-9961.2015.01.018
Citation: Performance of adverse events following immunization surveillance system in Karamay, Xinjiang, 2010-2013[J]. Disease Surveillance, 2015, 30(1): 71-74. DOI: 10.3784/j.issn.1003-9961.2015.01.018

2010-2013年新疆克拉玛依市疑似预防接种异常反应监测系统运转情况及监测结果分析

Performance of adverse events following immunization surveillance system in Karamay, Xinjiang, 2010-2013

  • 摘要: 目的 了解克拉玛依市2010-2013年疑似预防接种异常反应(adverse events following immunization,AEFI)的发生及监测情况,评价AEFI监测系统运转情况. 方法 采用描述性流行病学方法对克拉玛依市2010-2013年报告的疑似预防接种异常反应资料进行分析. 结果 2010-2013年全市共报告AEFI个案124例,全市4个区均有报告,克拉玛依区占75.00%,2013年较2010年报告AEFI大幅提高,男女性别比为1.43:1;疫苗总的报告发生率在4.47/10万~36.96/10万之间,1岁年龄组报告最多占54.03%(67/124),随年龄增加AEFI报告病例数下降.83.87%发生在接种后1 d,病例主要集中在5、6和9月,占42.75%(53/124).发生AEFI疫苗共有14种,其中以无细胞百白破疫苗的发生数最多,占26.62%;AEFI发生以一般反应为主占98.40%(122/124),临床损害以发热、红肿、硬结为主90例,占报告总数的72.58%. 结论 克拉玛依市AEFI监测系统完整性、敏感性和及时性逐年提高,但仍需提高监测质量.

     

    Abstract: Objective To understand the incidence of adverse events following immunization (AEFI) in Karamay and evaluate the performance of AEFI surveillance system. Methods Descriptive epidemiological analysis was conducted on the incidence data of AEFI reported in Karamay during 2010-2013. Results A total of 124 AEFI cases were reported during this period, the cases were reported in all 4 districts, and the cases in Karamay district accounted for 75.00%. Compared with 2010, the AEFI cases reported in 2013 increased substantially, the male to female ratio was 1.43:1. The overall incidence of AEFI ranged from 4.47/lakh to 36.96/lakh; The cases in age grouP1 year accounted for 54.03% of the total (67/124), and less cases occurred in older age group. Most cases (83.87%) occurred within 1 day after vaccination, and the cases were mainly reported in May, June and September, accounting for 42.75% (53/124). Fourteen kinds of vaccines were involved, but the AEFI caused by DTP accounted highest proportion (26.62%); Most AEFI were mild reaction, accounting for 98.40% (122/124), and fever, swelling and induration were recorded in 90 cases, accounting for 72.58%. Conclusion The completeness, sensitivity and timeliness of AEFI surveillance has been improved in Karamay, but more efforts are needed for the further improvement of the surveillance system.

     

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