2012—2016年荆州市疑似预防接种异常反应监测结果

Monitoring results of suspected adverse events following immunization in Jingzhou City from 2012-2016

目的分析荆州市2012—2016年疑似预防接种异常反应(AEFI)监测数据,评价荆州AEFI的监测工作开展情况及预防接种的安全性。方法采用描述流行病学方法对荆州市2012—2016年AEFI个案进行分析。结果 2012—2016年全市共报告2 830例AEFI,AEFI发生率38.94/10万。一般反应2 646例,异常反应157例,偶合症24例,心因性反应2例,预防接种事故1例,分别占总数的93.50%、5.55%、0.85%、0.07%和0.03%,无疫苗质量事故报告。报告人群主要集中在2岁以下(84.20%),季节分布以5—8月居多(51.41%)。AEFI报告及时率达到98.30%,以县为单位AEFI报告覆盖率每年均达到100.00%。结论 AEFI监测工作在荆州市开展较好,疫苗管理较规范,安全接种有待进一步提高。

[Objective]To analyze the monitoring date of suspected adverse events following immunization（AEFI） in Jingzhou City from 2012-2016,evaluate the monitoring work of AEFI and safety of immunization in Jingzhou City.[Methods]Descriptive epidemiological method was used to analyze the AEFI cases in Jingzhou City from 2012-2016.[Results]A total of 2 830 AEFI cases were reported during the period of 2012-2016,with the incidence rate of 38.94/lakh. Among them,2 646 cases were general reaction（93.50%）,157 cases were vaccination abnormal reaction（5.55%）,24 cases were coincidental illness（0.85%）,2 cases were psychogenic response（0.07%）,1 case was accident caused by vaccination errors（0.03%）,and no vaccine quality accident was reported. 84.20% of AEFI cases were child under 2 years old,and the 51.41% of cases occurred May to August. AEFI reporting timeliness rate was 98.30%,and county-level AEFI reporting coverage rate was 100.00%.[Conclusion]The monitoring of AEFI has performed well in Jingzhou City,and the vaccine management is normative. The safe vaccination should be further improved.