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为了解池州市乙型肝炎 (乙肝 )疫苗接种现况和免疫效果 ,于 2 0 0 2年 12月 2 0日～ 2 0 0 3年 1月 2 0日 ,对所辖4个县 (区 ,下同 )进行了调查。 4个县 2 0个乡 (镇 )按 <1岁、1岁、2岁共抽查 4 2 0名儿童 ,检测乙肝病毒表面抗原(HBsAg)与抗体 (抗 HBs)。结果 :池州市农村儿童乙肝疫苗接种率达 99 2 9% ,首针及时接种率为 73 81% ;池州市农村乙肝疫苗接种主要有 3种方式 ,即分娩医院接种、首针分离接种和接种点接种 ,其中分娩医院接种和首针分离接种符合接种要求 ,其首针及时接种率 >93% ,全程及时接种率 >87% ;HBsAg阳性 3人 ,阳性率 0 71% ,抗 HBs阳性 2 75人 ,阳转率 6 5 4 8% ;另有 14 2名 (33 81% )儿童HBsAg和抗 HBs双阴性。因此加强农村儿童乙肝疫苗接种管理 ,明确分娩医院和接种点各自的职责 ,规范乙肝疫苗接种是确保乙肝疫苗纳入计划免疫后获得高质量、高效果的关键。同时提高农村孕妇住院分娩有助于提高儿童乙肝疫苗接种率。
In order to understand the status quo and immunization effects of hepatitis B (hepatitis B) vaccination in Chizhou, from December 20, 2002 to January 20, 2003, The same below) conducted a survey. In 20 counties (counties) of 4 counties, 420 children were randomly selected and tested for hepatitis B virus surface antigen (HBsAg) and antibodies (anti-HBs) by age <1 years old, 1 year old and 2 years old. Results: The vaccination rate of hepatitis B vaccine was 99 2 9% in rural children in Chizhou City, and the first inoculation rate was 73 81%. There were mainly 3 ways to vaccinate hepatitis B in rural areas in Chizhou: birth in hospital for delivery, first needle inoculation and vaccination Inoculation, of which hospital delivery and first needle isolation inoculation in line with the requirements of vaccination, the first needle timely vaccination rate of> 93%, the whole timely vaccination rate> 87%; HBsAg positive 3, the positive rate of 0 71%, anti-HBs positive 2 75 , Positive conversion rate was 65.4%. Another 14 2 (33.81%) children were double-negative for HBsAg and anti-HBs. Therefore, to strengthen the management of rural children’s hepatitis B vaccination, clarify the responsibilities of each part of the delivery hospital and vaccination site, regulate the hepatitis B vaccination is the key to ensure the high quality and high effect of hepatitis B vaccine after the planned immunization. At the same time improve rural pregnant women hospital delivery helps to raise children’s hepatitis B vaccination rate.