山东省菏泽市一例确诊脊髓灰质炎疫苗相关病例的监测、诊断分析  

Surveillance and diagnosis of one confirmed polio vaccine related case in Heze City of Shandong

作　　者：张复臣[1] 马翠荣 韩芳 刘景顺[1] 杨传欣[1] 

机构地区：[1]菏泽市疾病预防控制中心,山东274010 [2]菏泽市第二人民医院,274000

出　　处：《医学动物防制》2018年第3期288-290,共3页Journal of Medical Pest Control

基　　金：2016年菏泽科技计划项目(2016第051号);菏泽市疾病控制中心科研基金资助项目

摘　　要：目的通过对菏泽市一例确诊脊髓灰质炎(脊灰)疫苗相关病例的监测、诊断进行分析,探讨脊灰疫苗相关病例的诊断标准及减少脊灰疫苗相关病例发生的策略。方法根据病例的急性驰缓性麻痹(AFP)专病管理系统资料、个案调查资料、预防接种相关资料、临床诊断治疗资料和脊灰实验室病毒检测结果等进行分析研究。结果依据WS294-2016《脊髓灰质炎诊断标准》,以及山东省处置类似病例的意见,菏泽市李××的最终诊断为确诊脊灰疫苗相关病例。结论现行的脊灰诊断标准仍需完善,应严格把握I+Ⅲ型脊灰减毒活疫苗接种禁忌症,进一步完善消灭脊灰免疫策略,减少脊灰疫苗相关病例的发生。Objective To analysis the surveillance and diagnosis of one confirmed polio vaccine related case in Heze City. Discuss diagnostic criteria of polio vaccine related case and strategy of decrease polio vaccine related case. Methods The analysis is based on disease management system of AFP cases,epidemiological survey,relevant information on vaccination,clinical diagnosis and laboratory virus separation results of the case. Results According to WS 294-2016 polio diagnostic criteria,the diagnosis of the case in Heze City is confirmed polio vaccine related case at last. Conclusion Current polio diagnostic criteria still needed perfect; strictly grasp I ＋ Ⅲ polio live attenuate vaccine contraindications to vaccination,improve the polio eradication immunization strategy,to decrease polio vaccine related case.

关 键 词：脊灰疫苗相关病例 监测 诊断 

分 类 号：R186[医药卫生—流行病学] R512.4[医药卫生—公共卫生与预防医学]