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目的分析2008-2011年贺州市疑似预防接种异常反应(以下简称AEFI)的监测情况,评价AEFI监测系统运行状况,以科学指导今后开展AEFI监测工作。方法对2008-2011年贺州市AEFI监测系统的资料进行总结分析。结果 2008-2011年贺州市AEFI病例共发生121例,男女比例2.18:1,病例及时报告数为113例,及时报告率93.39%,需调查病例118例,调查率100%。发生AEFI的年龄主要以<1岁为主,共82例,占67.77%。AEFI病例分类中,占前四位的分别为异常反应78例,占64.46%;一般反应19例,占15.70%;偶合症17例,占14.05%;接种事故4例,占3.31%。AEFI病例中以接种卡介苗引起的为主,共56例,占46.28%。结论贺州市AEFI监测系统正常运行,但要加强对安全注射工作的管理,加强对卡介苗接种技术规范的培训工作,同时要加强对1岁内儿童接种后AEFI监测工作。
Objective To analyze the monitoring results of suspected AEFI in Hezhou from 2008 to 2011, evaluate the operation status of AEFI monitoring system and guide the future AEFI monitoring with scientific guidance. Methods The data of AEFI monitoring system in Hezhou from 2008 to 2011 were summarized and analyzed. Results A total of 121 AEFI cases were observed in Hezhou from 2008 to 2011, with a ratio of 2.18: 1 between men and women. The number of reported cases in time was 113 and timely reporting rate was 93.39%. There were 118 cases to be investigated and the investigation rate was 100%. AEFI occurred mainly in the age <1-year-old, a total of 82 cases, accounting for 67.77%. In the classification of AEFI cases, 78 cases (64.46%) were abnormal reaction, 19 cases (15.70%) were general reaction, 17 cases (14.05%) were accidental complications and 4 cases (3.31%) were vaccinated. AEFI cases caused by BCG vaccination mainly, a total of 56 cases, accounting for 46.28%. Conclusion The AEFI monitoring system in Hezhou City is in normal operation. However, it is necessary to strengthen the management of safe injection and strengthen the training on the technical specifications of BCG vaccination. At the same time, it is necessary to strengthen the monitoring of AEFI after inoculation of children within 1 year of age.