安徽省部分农村地区预防接种安全注射现状调查

An Investigation on the Safety of Injection in Immunization Service in Partial Rural Areas of Anhui Province

１９９６年１１月在安徽省有代表性的两个农村县，每县随机抽取１０个乡调查预防接种安全注射的状况。结果表明，多数接种单位注射器材严重不足，８０％的高压灭菌器质量不合格；近半数工作人员相关知识和技能素质较低；近２／３接种单位未实行“一人一针一管”；约５％～１０％消毒过的注射器材细菌培养阳性。上述原因造成至少８０％儿童的接种处于不安全注射危险之中。建议今后要采取加强培训、监督和推行乡（镇）卫生院开设接种门诊等措施，迅速改变目前状况。

The safety of injection in immunization service was investigated in two rural counties of Anhui Province in November 1996 Results showed that injection equipments were in severe shortage in many rural township health centers and village clinics 80% of the autoclaving sterilizers were not qualified About 50% of the workers lacked knowledge and skills concerning with vaccination One syringe and one needle was used for each injection in two-thirds of the health centers and the clinics 5%～10% of the sterilized injection instruments were cultured positively for bacteria All the factors stated above placed at least 80% of the vaccination under the danger of unsafety In order to change the current status, we suggest to take the following measures, that are to give the workers the educational and technical trainings, to strengthen the administrative monitors and to set up vaccination clinics in hospitals of town level