因疫苗免疫程序与药典规定相矛盾引发的一起预防接种纠纷的调查分析

Investigation and analysis of the conflict between the immune procedure of the vaccine and the provisions of the Pharmacopoeia

目的分析衡阳县某镇一起预防接种纠纷发生的原因。方法采用现场调查和查阅资料等方法,分析2013年衡阳县某镇一起预防接种纠纷发生的可能原因。结果患儿因接种乙型脑炎、麻疹风疹减毒活疫苗后出现发热,相继呕吐、抽搐,经医院诊断为化脓性脑膜炎;患儿监护人认为镇卫生院接种医生未按照疫苗使用说明书进行操作,造成对患儿伤害;经县预防接种异常反应调查诊断专家组调查诊断为预防接种后偶合发病,排除疫苗接种事故、预防接种异常反应(AEFI)。结论疫苗使用说明与]扩大国家免疫规划疫苗免疫程序的矛盾引发预防接种纠纷,应保证中国药典生物制品使用说明与疫苗使用的免疫程序的一致性。

Objective Understand shanqiao town in Heng Yang county, this vaccination disputes causes, discuss the solution. Methods the field investigation and access to information, consult the superior to identify development after it happened. Results vaccination in children with encephalitis b, measles, rubella live attenuated after 39 hours,then have some symptons, like fever, vomiting, convulsions, and the south China university affiliated hospital diagnosed with purulent meningitis; The guardian thought for Shanqiao township health centers of inoculated not according to the regulations of the vaccineinstructions operation fault on the damage; Heng Yang county immunization abnormal reaction survey diagnostic expert conclusion is： ＂ Tang coupled disease after an for vaccination, exclude vaccination accidents, AEFI.＂ Conclusion Shanqiao township health centers for children with vaccination no-fault, tang a disease has nothing to do with quality of vaccine, vaccination equipment, instructions on the vaccine package with vaccine immunization program, vaccine use guidelines have differences, but for the ministry of health＇s vaccine immunization program, vaccine use guidelines is superior to the Chinese pharmacopoeia. To avoid vaccination disputes occur again, desire for national family planning and health food to inform the national drug regulatory department as soon as possible consultation.