一起A群流脑疫苗过量接种差错事件的调查  

Investigation on an event of overdose vaccination of serogroup A meningococcal vaccine

作　　者：谭斌[1] 喻林玲 刘晓 李迎丽[3] 肖玉春 TAN Bin;YU Lin-ling;LIU Xiao;LI Ying-li;XIAO Yu-chun(Yubei District Center for Disease Control and Prevention,Chongqing 401120,China;不详)

机构地区：[1]重庆市渝北区疾病预防控制中心,重庆401120 [2]重庆海关 [3]重庆医科大学公共卫生与管理学院

出　　处：《中国国境卫生检疫杂志》2022年第4期315-317,共3页Chinese Journal of Frontier Health and Quarantine

基　　金：重庆市自然科学基金项目(cstc2020jcyj-msxmX0540)。

摘　　要：2021年9月30日,重庆某社区卫生服务站发生一起疫苗接种差错事件,经过现场流行病学调查及访谈,发现有4名儿童在接种A群流脑疫苗过程中,因接种人员稀释疫苗方法错误引起医疗纠纷。经过体检和专家评估,4名儿童后续出现不良反应的可能性较小。建议预防接种人员应吸取经验教训,确保疫苗接种的安全性和有效性。September 30,2021,a vaccination er ror event occurred in a community health service station,Chongqing.Based on field epidemiological investigation and interview,it was found that during the vaccination of serogroup A meningococcal vaccine for 4 children,medical disputes was caused due to the wrong diluting of the vaccine by vaccination staff. The 4 children were less likely to have adverse reactions after physical examination and expert evalu-ation. It is suggested that the vaccination staff should learn experience and lessons from the event,and to ensure the safety and effectiveness of vaccination.

关 键 词：流脑 A群流脑疫苗 疫苗接种 预防接种异常反应 

分 类 号：R181[医药卫生—流行病学]