2009—2011年度汕头市新生儿卡介苗接种质量调查  

Survey on BCG Vaccination Quality in Shantou City from 2009 to 2011

作　　者：李晓云 

机构地区：[1]汕头市结核病防治所,广东汕头505141

出　　处：《护理学报》2013年第4期36-38,共3页Journal of Nursing（China）

摘　　要：目的评价汕头市2009—2011年新生儿卡介苗接种效果,并探索卡痕与结核菌素反应之间的关系。方法观察10 477例接种卡介苗后满12周婴儿卡痕形成情况,并对其进行结核菌素皮试,分析皮试结果。结果在10 477例婴儿中,结核菌素试验阳性率93.13%,卡痕率94.83%;卡痕合格者,结核菌素反应阳性率和反应直径大于卡痕不合格者(P<0.05)。结论汕头市新生儿卡介苗接种效果良好,卡痕合格者结核菌素试验阳性率高,但卡痕反应并不证明产生免疫力的高低,而用结核菌素试验评价结核免疫水平是目前唯一可靠、准确的方法。因此,应推广结核菌素试验并提高卡介苗接种质量。Objective To evaluate the BCG vaccination quality of new born babies in Shantou from 2009 to 2011, and discuss the relationship between BCG scar and tuberculin reaction. Methods A total of 10 477 babies＇ scars 12 weeks after vaccination were observed, and the positive rate was analyzed by PPD test. Results Of the total, positive rate of PPD test reached 93.13%. And 9 935 babies had scars with the scar rate of 94.83%. The positive rate of PPD and reacted diameter of new born babies with scar size greater than or equal to 3 mm were obviously higher and bigger than those with scar size less than 3 mm. The difference was statistical significance （P〈0.05）. Conclusion The quality of new born babies＇ BCG vaccination in Shantou maintains good. There is positive correlation between the scar size and the PPD test positive rate. The scar is only the evidence of vaccination, which cannot indicate the immunity level and PPD test is the only reliable and correct approach to measure the tuberculosis immunity level up to now. To guarantee the vaccination quality, technique of BCG vaccination needs to be bolstered.

关 键 词：卡介苗 新生儿 卡痕 结核菌素 

分 类 号：R186.2[医药卫生—流行病学]