贵阳市医院出生新生儿乙型肝炎疫苗首针未及时接种原因调查分析  

Analysis the Reason of Unvaccinated First Dose Hepatitis B Vaccine to the Neonates Delivered in Hospital in Guiyang

作　　者：王涛[1] 蔡毅媛[2] 刘铭[1] 管庆虎[1] 张丽[1] 蒋凤[1] 

机构地区：[1]贵州省疾病预防控制中心免疫规划所,贵州贵阳550004 [2]贵州医科大学公共卫生学院预防医学教研室

出　　处：《疾病监测与控制》2015年第8期533-535,共3页Journal of Diseases Monitor and Control

摘　　要：目的了解贵阳市部分三级医院出生的新生儿乙型肝炎（乙肝）疫苗（Hepatitis B Vaccune,Hep B1）首针及时接种率及影响因素。方法对贵阳市三所三级综合医院2011年6月1日～12月31日期间出生的新生儿进行随机抽样。分析乙肝首针未及时接种情况及原因。结果 1 256名新生儿中Hep B1及时接种人数为1 185人,及时接种率为94.35%。未及时接种新生儿71人,占5.65%。未及时接种主要原因包括早产（7.07%）、早产合并其他症状（56.34%）,低体重（14.08%）、低体重合并其他症状（4.23%）、窒息（14.09%）、窒息合并其他症状（1.41%）。结论三家三级综合医院及时接种率较高。影响Hep B1及时接种的主要原因在于对Hep B1接种禁忌证把握过度严格,需加强医院内预防接种人员相关知识的培训。Objective To find out the reasons of unvaccination first dose of Hepatitis B vaccine（Hep B1） timely delivered in hospital in Guiyang. Methods The samples came from three first level hospitals whom born in June 1st to Feb. 31 st in 2011 by random sampling. Analysis the reason of unvaccinated of the first dose Hep B1. Results In the hospital, the Hep B1 timely coverage rate was 94.35%. The reasons of which neonates did not have Hep B1 timely vaccination were simply premature（7.07%）, premature and other diseases（56.34%）, simply low birth weight（14.08%）, low birth weight and other diseases（4.23%）, simply asphyxiation（14.09%）, asphyxia and other diseases（1.41%）. Conclusions The Hep B1 timely coverage rate had reached at high level in the three first level hospitals. The main reason of unvaccination timely Hep B1 was incorrect to distinguish the contraindications for Hep B1 vaccine, It is necessary to strengthen education for immunization staff.

关 键 词：医院产房新生儿 首针乙肝疫苗 接种情况 贵阳市 

分 类 号：R186[医药卫生—流行病学]