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目的分析2013年黄冈市疑似预防接种异常反应(AEFI)监测数据,评价AEFI监测系统运转情况、疫苗安全性和预防接种服务质量。方法通过中国疾病预防控制信息系统AEFI信息管理系统收集AEFl个案数据,采用描述流行病学方法分析相关指标。结果全市累计报告AEFI个案252例,一般反应最多,占79.76%;其次为异常反应,占19.05%。涉及疫苗28种,报告最多的是百白破(无细胞),占25.79%;其次是麻风,占13.49%。临床诊断以发热/红肿/硬结最多,占64.68%;其次为其他,占16.27%。相关监测指标达到AEFI监测方案要求。结论黄冈市AEFI监测系统运转正常,疫苗安全性和预防接种服务质量良好,应继续加强各级医疗机构报告人员对AEFI处置、报告等相关知识的培训,确保AEFI监测质量。
Objective To analyze the data of suspected AEFI in Huanggang City in 2013, assess the operation of AEFI monitoring system, the safety of vaccines and the quality of vaccination services. Methods The data of AEFI cases were collected through AEFI information management system of China Disease Prevention and Control Information System, and the descriptive epidemiological method was used to analyze the relevant indicators. Results A total of 252 AEFI cases were reported in the city, with the most common reactions, accounting for 79.76%, followed by abnormal reactions accounting for 19.05%. 28 kinds of vaccines were involved. The most reported cases were diterpene (no cell), accounting for 25.79%; followed by leprosy, accounting for 13.49%. Clinical diagnosis with fever / swelling / induration most, accounting for 64.68%; followed by other, accounting for 16.27%. Relevant monitoring indicators meet the AEFI monitoring program requirements. Conclusion The AEFI monitoring system in Huanggang City is in normal operation with good vaccine safety and vaccination services. The AEFI monitoring staff at various levels should continue to enhance the training of AEFI personnel in handling and reporting of related information, and ensure the quality of AEFI monitoring.