彭浦社区2011-2013年疑似预防接种异常反应监测分析

Analysis of the surveillance of the suspected adverse events following immunization by Pengpu Community during 2011-2013

目的 :分析彭浦社区2011-2013年AEFI的发生特征,评价AEFI监测系统的运行情况。方法 :通过AEFI监测系统收集个案数据进行描述性分析。结果 :2011-2013年共报告AEFI 262例,报告发生率为239.71/10万。其中一般反应221例,占84%,异常反应41例,占16%;临床诊断以发热、红肿、硬结较多,占总数的82.06%。报告发生AEFI的疫苗有19种,其中7价肺炎疫苗最高,为1 226.42/10万。AEFI报告发生率最高峰在7月份,为524.82/10万;12月份最低为116.03/10万。结论 :2011-2013年彭浦社区AEFI监测系统运转良好,AEFI以一般反应为主。要加强预防接种人员规范化操作,严格掌握禁忌证并做好预检筛查,从而减少AEFI的发生。

Objective： To analyze the occurrence characteristic of the adverse events following immunization （AEFI） in Pengpu Community during 2011-2013 to evaluate its surveillance system. Methods： The case data were collected through the surveillance system to conduct the descriptive analysis. Results： From 2011 to 2013, 262 cases were reported and its reported occurrence rate was 239.71/100,000. Among them, the common adverse reaction had 221 cases, accounting for 84%, and the paradoxical reaction had 41 cases, accounting for 16%. The symptoms of the clinical diagnosis mainly were fever, red swelling and scleroma, accounting for 82.06%. The adverse events were reported in 19 kinds of vaccines, and among them, pneumococcal 7-valent conjugate vaccine had the highest reported occurrence rate, which was 1 226.42/100,000. The peak of the reported occurrence rate of AEFI was in July, which had 524.82/100,000, and the lowest one in December, which had 116.03/100,000. Conclusion： The AEFI surveillance system of Pengpu Community run well from 2011 to 2013. AEFI is mainly the common adverse reaction. The standard operation of the vaccination staff should be strengthened and the contraindications should be strictly controlled and the screening should be done well to decrease the occurrence of the adverse events after vaccination.