隆安县2010—2013年县直出生接种单位接种卡介苗发生淋巴结炎情况分析  

The Analysis of the Possibilities of the Newborns Getting the BCG Lymphadenitis after Vaccinating the BCG Vaccine in Long'an County of Guangxi in 2010 to 2013

作　　者：农秋锋[1] 

机构地区：[1]广西隆安县疾病预防控制中心,广西隆安532799

出　　处：《中国卫生产业》2015年第2期168-169,171,共3页China Health Industry

摘　　要：目的了解广西隆安县2010—2013年县直出生接种单位接种卡介苗后发生淋巴结炎情况,提高该县卡介苗接种质量。方法通过收集隆安县201—2013年新生儿发生卡介苗淋巴结炎的个案调查表及各接种单位的疫苗使用报表,利用excel2003软件建立数据库进行统计分析。结果 2010—2013年三家县直医院接种卡介苗18462剂次,报告卡介苗淋巴结炎发生率为812.48/100万剂(15/18462);男性10例,女性5例;病例发生时间各不相同,最短为接种后35 d,最长为190 d,平均为接种后93.6 d;从病例发现到就诊时间,最短为发现后当天就诊,最长为180 d,平均为发现后23 d;各年间接种卡介苗后发生卡介苗淋巴结炎无差别;县人民医院卡介苗淋巴结炎发生率为1242.59/100万剂,高于其他县直医院的总发病率。结论接种人员接种卡介苗后要对家长进行告知;加强接种人员的培训,提高接种人员的理论知识和操作技能;加强接种现场的督导。Objective The aim of the research is to get to know the situation of the newborns who inoculated the BCG vaccine in Long＇an county of Guangxi in 2010 to 2013, and to know the possibilities of them to get BCG Lymphadenitis after inoculating the vaccine, which will help to improve the quality of the BCG vaccine inoculation in this county in the future. Methods Gather the information of the newborns in 2010 to 2013 who has got the BCG Lymphadenitis and the report forms of the hospitals in town, and build database with the excel 2003 system, and then analyze the data. Results In the year 2010 to 2013, all the three hospitals of the town have inoculated 18462 doses of the BCG vaccine. The percentage of getting BCG Lymphadenitis is 812.48/ 1,000,000 （that is 15/18462）. Ten of them are male, five are female. The BCG Lymphadenitis cases occurred in different time intervals between the inoculation and the occurrence. The shortest time interval is 35 days, the longest is 190 days, so the average is 93.6 days. The time interval between the occurrence and the visit to doctors are various, the shortest is the same day, and the longest is 180 days, so the average is 23 days. But this case shows no difference in each year. Among the three hospitals, Long＇an People＇s Hospital has the highest rate of BCG Lymphadenitis occurrence, which is 1242.59/1,000,000. Conclusion The medical staff should inform the parents whose children have got the vaccination of the information. Training for the staff should be strengthened. The staff＇s theoretical knowledge and skills should be improved. The guidance and supervision of this vaccination operation should be enhanced.

关 键 词：新生儿 卡介苗淋巴结炎 疫苗 

分 类 号：R18[医药卫生—流行病学]