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目的对第1类疫苗储存、使用的管理模式进行探讨和评估。方法统计福建省第1类疫苗出入库数量、冷链数量,分析存在的问题。结果全省疫苗管理较规范,2009—2012年第1类平均出库1 474.91万支,冷链装备得到有效补充。存在省级冷库容量尚不足,县级疫苗运输车容量偏小,疫苗生产企业用泡沫箱或冷藏运输箱运送疫苗时装箱内温度记录仪不足等问题。结论全省冷链系统运行状态良好,疫苗运输、储存、使用符合要求。建议建立全省冷链档案及系统,实施全程信息化管理;百万以上人口的县配备小型冷藏车;生产企业使用温度标签并逐步推广电子监管码,切实提高管理水平。
Objective To discuss and evaluate the management and storage of the first type vaccine. Methods Statistics of the number of the first class vaccine in Fujian Province, the number of cold chain, analysis of existing problems. Results Vaccine management in the province was more standardized. In the first category from 2009 to 2012, there were an average of 14,749,100 and the cold chain equipment was effectively supplemented. There are insufficient cold storage capacity at the provincial level, the capacity of the county-level vaccine transporter is too small, and vaccine manufacturers use foam boxes or refrigerated transport boxes to deliver vaccines when there is not enough temperature loggers in the boxes. Conclusion The cold chain system in the province is in good condition and the vaccine transportation, storage and use meet the requirements. It is suggested to set up the province’s cold-chain archives and systems to implement full-scale information management; counties with more than 1 million population are equipped with small refrigerated trucks; manufacturers use temperature labels and gradually promote electronic supervision codes to effectively improve their management level.