河北省保定市1～4岁组非疫苗可预防传染病儿童疫苗接种率评价  

Evaluation on immunization coverage rates of vaccines among 1～4 years old children with non-vaccine-preventable diseases in Hebei Baoding City

作　　者：吴冰冰[1] 左志平[1] 贾磊[1] 张玉玺[1] 李淑芳[1] 

机构地区：[1]保定市疾病预防控制中心,河北071000

出　　处：《医学动物防制》2017年第11期1131-1134,共4页Journal of Medical Pest Control

基　　金：河北省卫生厅重点科技研究计划(20150010)

摘　　要：目的了解保定市非疫苗可预防传染病(Vaccine Preventable Diseases,VPD)儿童国家免疫规划(National Immunization Program,NIP)疫苗的接种情况。方法随机抽取保定市5个山区县和5个平原县的非VPD儿童个案,通过在儿童预防接种信息管理系统获取儿童NIP疫苗接种情况并进行分析评价。结果在7 159名非VPD儿童中,卡介苗(Bacilli Calmette-Guérin Vaccine,BCG)、3剂乙型肝炎(乙肝)疫苗(Hepatitis B Vaccine,HepB1-3)、3剂口服脊髓灰质炎(脊灰)减毒活疫苗(Oral Poliomyelitis Attenuated Live Vaccine,OPV1-3)、3剂无细胞百白破联合疫苗(Diphtheria Tetanus and Acellular Pertussis Combined Vaccine,DtaP1-3)、2剂含麻疹成分疫苗(Measles-containing Vaccine,MCV1-2)、第1剂乙型脑炎(乙脑)减毒活疫苗(Japanese Encephalitis Attenuated Vaccine,JEV1)、第1剂A群脑膜炎球菌多糖疫苗(Group A Meningococcal Polysaccharide Vaccine,MPV-A1)接种率均>92%,其中HepB1接种率最高,为99.30%。甲型肝炎(甲肝)减毒活疫苗(Hepatitis A Attenuated Live Vaccine,Hep A-L)接种率最低,为85.11%;MCV1及时接种率为56.64%。非VPD儿童各疫苗接种率女性普遍高于男性、山区高于平原、本县区高于其他县区、随年龄增长而升高,普遍低于全市儿童接种率。结论保定市非VPD儿童疫苗接种率普遍较高,首针HepB和BCG纳入产科医院接种可以提高接种率;需提高新纳入NIP疫苗接种率和MCV1及时接种率。Objective To identify the immunization status of vaccines in national immunization program （NIP） among children with non - vaccine - preventable diseases （VPD） in Baoding City. Methods Making research on non - VPD children in 5 plain counties and 5 mountainous counties by random sampling. Assess the coverage rates of NIP vaccines through immunization infor- mation system. Results Among the 7 159 non - VPD children, the coverage rates for Bacilli Calmette - Gu6rin vaccine （ BCG）, 3 dose of Hepatitis B vaccine （ HepB）, 3 dose of oral poliomyelitis attenuated live vaccine （ OPV）, 3 dose of diphthe- ria tetanus and acellular pertussis combined vaccine （DtaP）, two dose of measles -containing vaccine （MCV）, the first dose of Japanese encephalitis attenuated vaccine （JEV1）, the first dose of group A meningococcal polysaccharide vaccine （MPV） were higher than 92% in Baoding City. Among those the coverage rate of HepB1 （99. 30% ） was highest, hepatitis A attenuated live vaccine （ HepA - L） was lowest, with is 85. 11%. The coverage timely rate of MCV1 was 56. 64%. In comparison, the coverage rate of female was higher than male, mountainous county was higher than plain county, the county children was highest among other register, increased with age, and lower than the whole city data. Conclusion The immunization coverage rate among non - VPD children were generally higher. Coverage rates for new vaccines integrated into NIP since 2008 and MCV1 timely rate were expected to be improved.

关 键 词：疫苗可预防传染病 疫苗 接种率 

分 类 号：R186[医药卫生—流行病学]