2008—2011年南通市某医院新生儿乙肝疫苗和卡介苗的接种情况  

Neonatal vaccination status of hepatitis b vaccine and BCG in a hospital of Nantong City from2008-2011

作　　者：施晓燕[1] 

机构地区：[1]江苏省南通市第一人民医院预防保健科,226001

出　　处：《职业与健康》2012年第22期2763-2764,2769,共3页Occupation and Health

摘　　要：目的了解南通市第一人民医院新生儿首针乙型肝炎(乙肝)疫苗和卡介苗接种情况和未及时接种原因,探讨提高新生儿乙肝疫苗和卡介苗及时接种率和接种率的对策。方法调查2008—2011年新生儿接种登记资料,对新生儿预防接种情况及未接种原因进行统计分析。结果 2008—2011年6 402名活产新生儿首针乙肝疫苗及时接种率在94.55%～95.18%,乙肝疫苗接种率在94.68%～98.91%;卡介苗及时接种率在90.07%～92.06%,卡介苗接种率在91.98%～94.98%。不同年份乙肝疫苗及时接种率、卡介苗及时接种率比较,差异无统计学意义(P>0.05)。不同年份乙肝疫苗接种率、卡介苗接种率比较,差异有统计学意义(P<0.01)。2008、2009年乙肝疫苗和卡介苗及时接种率和接种率比较,差异无统计学意义(P>0.05)。2010、2011年乙肝疫苗和卡介苗及时接种率和接种率比较,差异有统计学意义(P<0.01)。乙肝疫苗未及时接种主要原因是:早产儿和患病儿,分别占未及时接种者的82.98%和12.46%。卡介苗未及时接种主要原因是:早产儿和患病儿,分别占未及时接种者的58.00%和42.00%。结论该院新生儿乙肝疫苗和卡介苗接种工作开展较好,接种率呈逐年上升趋势。由临产室尽早为新生儿接种首针乙肝疫苗,提高外来孕妇产检率,正确把握接种禁忌证,出院前符合接种要求的新生儿由新生儿室补种,是提高新生儿首针乙肝疫苗和卡介苗及时接种率和接种率的有效措施。[Objective] To understand the neonatal vaccination status of hepatitis b vaccine at first dose and BCG in Nantong First People＇s Hospital as well as the untimely vaccination reason,and discus the measures for improving neonatal vaccination rate and timely vaccination rate.[Methods]The 2008-201 neonatal vaccination registration data were investigated to analyze the neonatal vaccination status and unvaccinated reasons statistically.[Results]Among 6 402 newborns between 2008-2011,the timely vaccination rates of hepatitis b vaccine at first dose was 94.55%-95.18%,hepatitis B vaccination rate was 94.68%-98.91%.The vaccination rate and timely vaccination rate of BCG was 90.07%-92.06% and 91.98%-94.98% respectively.The timely vaccination rate of hepatitis b vaccine and BCG was not significantly between years（P0.05）,while the vaccination rate was on the contrary（P0.01）.The vaccination rate and timely vaccination rate of hepatitis b vaccine and BCG were not significantly different between 2008 and 2009（P0.05）,while those between 2010 and 2011 were significant（P0.01）.The main reasons for not timely vaccination of hepatitis B vaccine were premature children（82.98%） and sick children（12.46%）.The main reasons for not timely vaccination of BCG were premature children（58.00%） and sick children（42.00%）.[Conclusion]Neonatal vaccination of hepatitis B vaccine and BCG has been well implemented in this hospital,with annual upward tendency of vaccination rates.The effective measures for improving neonatal vaccination rate and timely vaccination rate of hepatitis b vaccine and BCG are hepatitis b vaccination at first dose in parturient room as soon as possible,improving examination rate of migrant pregnant women,correct treatment of vaccination contraindications,and vaccination of valid newborns in newborn room prior to discharge

关 键 词：新生儿 乙肝疫苗 卡介苗 及时接种率 接种率 

分 类 号：R186[医药卫生—流行病学]