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目的分析邹平县2011~2013年疑似预防接种异常反应(Adverse event following immunization,AEFI)发生特征,评价AEFI监测系统运转状况。方法通过中国疾病预防控制中心AEFI信息管理系统,收集全县2011~2013年报告的AEFI个案数据,采用描述性方法,对相关指标进行流行病学分析。结果 2011~2013年全县共报告AEFI 197例,<1岁占37.56%,其中4~8月龄占<1岁病例的68.92%;男女性别比为1.81∶1;一般反应占报告总数83.76%,异常反应占13.20%,异常反应中以过敏性皮疹为主;无细胞百白破疫苗AEFI发生数最多,占总例数的39.59%,报告发生率也最高,为75.62/万剂次,异常反应发生率最高的是麻风疫苗,为18.53/万剂;AEFI多在在接种后24h内发生,占90.86%。结论全县AEFI监测系统运转良好,监测质量不断提高;百白破三联疫苗、白破二联疫苗、含麻成分疫苗是发生AEFI较多的疫苗;AEFI常发生在小年龄组儿童,应为监测重点。
Objective To analyze the characteristics of suspected AEFI in Zouping County from 2011 to 2013 and evaluate the operation status of AEFI monitoring system. Methods AEFI information management system of China Center for Disease Control and Prevention was used to collect data on AEFI reported from 2011 to 2013 in the whole county. The descriptive method was used to carry out epidemiological analysis of related indicators. Results A total of 197 AEFI cases were reported in the county between 2011 and 2013, accounting for 37.56% <1 year old, of whom 68.92% were aged from 4 to 8 months and the ratio of male to female was 1.81:1. The average reactions accounted for 83.76% , Abnormal reaction accounted for 13.20%, anaphylactic allergic reaction rash mainly; cell-free diphtheria taboo vaccine AEFI the largest number, accounting for 39.59% of the total number of cases, the highest incidence of reports, was 75.62 / million doses, abnormal The highest incidence of response to leprosy vaccine, 18.53 / 10000; AEFI and more occurred within 24 hours after inoculation, accounting for 90.86%. Conclusion The AEFI monitoring system in the county is in good condition and the quality of monitoring is continuously improved. The vaccine containing diphtheria trifoliatus, diphtheria blepharosporum, and cannabis component vaccine is more vaccine with AEFI. AEFI often occurs in children of small age and should be monitored Focus.