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目的评价儿童预防接种单位和教育机构间自动短信沟通对接种证查验的影响,为改进接种证查验工作提供依据。方法对比河北省保定市2013年接种单位和教育机构间查验沟通的地区和无沟通交流地区的疫苗补种情况。结果未沟通地区的28 022名儿童查验后11苗全程接种率73.58%,沟通地区41 577名儿童全程接种率为78.66%;信息沟通地区平均补种率为43.75%,未沟通地区补种率22.82%,两者相差20.93%(χ2=1 970.90,P<0.05);受不良信息影响接种的甲肝疫苗提高了43.39%,流脑、白破等疫苗提高最为明显,均达到20%以上,卡介苗、乙肝疫苗、脊灰疫苗、百白破疫苗、麻疹类疫苗等老“五苗”提高10%左右,低于流脑等疫苗。结论接种单位和教育机构间接种证查验信息自动沟通,可以有效提高扩大国家免疫规划全程疫苗接种率,提高接种证查验疫苗补种率,对于受不良信息影响接种的疫苗效果更为明显。
Objective To evaluate the impact of automatic sms communication between vaccination units and education institutions on the vaccination certificate examination and provide basis for improving the vaccination certificate examination work. Methods Contrasting the vaccination status of vaccination units and educational institutions in Baoding, Hebei Province between 2013 and non-communicative exchange areas. Results The whole vaccination rate of 11 0 seedlings was 73.58% after checking out 28 022 children in the non-communicative area and 78.66% in 41 577 children in communicating area. The average replanting rate in informative communication area was 43.75%, and the non-communicational area replanting rate was 22.82 %, Respectively, with a difference of 20.93% (χ2 = 1 970.90, P <0.05). Hepatitis A vaccine vaccinated with adverse effects increased by 43.39% and vaccines such as meningitis and white broken increased most significantly, reaching more than 20% Hepatitis B vaccine, polio vaccine, diphtheriae vaccine, measles vaccine and other old “five seedlings ” increased by about 10%, lower than meningitis and other vaccines. Conclusion The automatic communication between the inoculation units and educational institutions for indirect evidence of vaccination can effectively improve the whole vaccination coverage of the national immunization program and improve the vaccination certificate to check the vaccination rate, which is more obvious for vaccines vaccinated by bad information.