2021年北海市常规免疫接种率监测结果评价  

Evaluation on monitoring results of routine immunization coverage rate in Beihai City in 2021

作　　者：周玲[1] 陈坚磊[1] 黄以宁[1] 朱小琴[1] ZHOU Ling;CHEN Jianlei;HUANG Yining;ZHU Xiaoqin(Department of Immunization Planning,Beihai Center for Disease Control and Prevention,Beihai Guangxi,536000,China)

机构地区：[1]北海市疾病预防控制中心免疫规划科,广西北海536000

出　　处：《职业与健康》2023年第20期2795-2799,2803,共6页Occupation and Health

基　　金：广西北海市科技计划项目(北科合2020165014)。

摘　　要：目的 分析2021年北海市常规免疫接种率监测结果,评价北海市报告接种率监测质量并分析原因。方法 对2021年北海市常规免疫接种数据采用估算接种率、差值(D)、比值(R)和脱漏率进行评价分析。结果 2021年北海市常规免疫报告完整率为100%。北海市基础免疫乙型肝炎疫苗(HepB)、脊髓灰质炎疫苗(OPV)、百白破联合疫苗(DTP)、麻腮风三联疫苗(MMR)、A型流脑疫苗(MenA)、乙型脑炎疫苗(JE)和甲型肝炎疫苗(HepA)的报告接种率在99.02%~99.43%之间,估算接种率在91.31%~111.62%之间;加强免疫DTP第4剂(DTT4)、MMR第2剂(MMR2)、JE第2剂(JE2)、OPV第4剂(OPV4)、白破疫苗(DT)、A+C群流脑疫苗第1~2剂(MenA+C1~2)的报告接种率在97.92%~99.42%之间,估算接种率在48.32%~92.10%之间。市级基础免疫HepB、DTP、MenA和JE的D值评价为可信(D≤5%),OPV、MMR和HepA为可疑(5%15%)。市级R值评价均为可信(0.95≤R≤1.05)。脱漏率除JE评价为不合理外,其他疫苗均为合理。结论 北海市常规免疫报告接种率保持在较高水平,但可能存在摸底不够清楚、接种率虚高的问题,提示常规免疫监测工作质量有待进一步提高。Objective To analyze the monitoring results of routine immunization coverage rate in Beihai City in 2021,evaluate the monitoring quality of reported vaccination rates in Beihai City and analyze the reasons. Methods The estimated vaccination rate,difference(D),ratio(R) and deletion rate were used to evaluate and analyze the routine immunization data of Beihai City in 2021.Results In 2021,the complete rate of routine immunization reports in Beihai City was 100%. The reported vaccination rates of basic immunization for HepB,OPV,DTP,MMR,MenA,JE and HepA in Beihai City ranged from 99.02% to 99.43%,and the estimated vaccination rates ranged from 91.31% to 111.62%. The reported vaccination rates of booster immunizations for DTP4,MMR2,JE2,OPV4,DT,MenA+C1-2 ranged from 97.92% to 99.42%,and the estimated vaccination rates ranged from 48.32% to92.10%. D-value of HepB,DTP,MenA and JE in municipal basic immunity were evaluated as reliable(D≤5%),while OPV,MMR and HepA were suspected(5%15%). City level R-value evaluation was reliable(0.95≤R≤1.05).The leakage rate was reasonable for all vaccines except JE,which was evaluated as unreasonable. Conclusion The reported vaccination rate of routine immunization in Beihai City remains at a high level,but there may be problems of insufficient mapping and inflated vaccination rates,indicating that the quality of routine immunization monitoring work needs to be further improved.

关 键 词：常规免疫 接种率 监测 评价 

分 类 号：R186[医药卫生—流行病学]