秀洲区5岁以下儿童轮状病毒疫苗接种情况调查

Coverage of rotavirus vaccination among children under five in Xiuzhou District

目的了解嘉兴市秀洲区5岁以下儿童轮状病毒疫苗(RV)接种情况,为轮状病毒腹泻防控提供依据。方法通过浙江省SaaS化云金苗预防接种系统收集秀洲区全部8家乡镇卫生院/社区卫生服务中心预防接种门诊登记在册的2月龄~<5岁儿童RV接种资料,分析不同性别、年龄、接种疫苗种类和接种剂次儿童的接种率。结果纳入儿童32752人,接种RV 15422人,接种率为47.09%。男童接种率为47.65%,高于女童的46.46%(P<0.05)。本市户籍儿童接种率为56.76%,高于非本市户籍的38.75%(P<0.05)。单价RV和5价RV接种率分别为36.90%和10.18%。累计接种26982剂次,人均(0.84±1.02)剂次。1剂次、2剂次和3剂次接种率分别为20.75%、17.37%和8.96%。RV首剂接种年龄M(QR)为6.00(3.00)月龄。结论秀洲区5岁以下儿童RV接种率较低,接种单价RV居多,全程接种率不高,应采取措施强化RV接种。

Objective To investigate the coverage of rotavirus vaccination among children under five years in Xiuzhou District of Jiaxing City,so as to provide insights into rotaviral diarrhea control.Methods The rotavirus vaccination da⁃ta of children aged two months to five years were extracted from the vaccination clinics of eight township hospitals and community health service centers through the Zhejiang vaccination information system.The coverage of rotavirus vaccina⁃tion was analyzed among children with different genders,ages,types of vaccines and doses of vaccination.Results To⁃tally 32752 children were included,and the coverage of rotavirus vaccination was 47.09%.The coverage of rotavirus vaccination was significantly higher in boys than in girls(47.65%vs.46.46%,P<0.05),and a higher vaccination rate was seen in children with local household registration than in those without(56.76%vs.38.75%,P<0.05).The vacci⁃nation rates of monovalent and pentavalent rotavirus vaccines were 36.90%and 10.18%,respectively.Totally 26982 doses of rotavirus vaccines were vaccinated,with a mean dose of(0.84±1.02)per capita,and the vaccination rates of one,two and three doses were 20.75%,17.37%and 8.96%,respectively.The median age was 6.00 months(interquar⁃tile range,3.00 months)among children vaccinated with the first dose.Conclusions The coverage of rotavirus vaccina⁃tion and full-dose vaccination are low among children under five in Xiuzhou District,with monovalent rotavirus vac⁃cines predominant.Intensified rotavirus vaccination is therefore recommended.