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目的比较儿童预防接种信息管理系统(Children Immunization Information Management System,CIIMS)和现场调查适龄儿童国家免疫规划疫苗(National Immunization Program Vaccine,NIPV)接种率统计结果,验证依托CIIMS获取NIPV接种率的可行性。方法通过现场调查和CIIMS对天津市2010~2011年出生的≤2岁儿童NIPV接种率进行调查统计和比较分析。结果调查分析儿童1剂卡介苗、3剂乙型肝炎疫苗(Hepatitis B Vaccine,HepB)、3剂口服脊髓灰质炎减毒活疫苗、3剂白喉-破伤风-百日咳联合疫苗(Diphtheria,Tetanus and Pertussis Combined Vaccine;DTP)、2剂含麻疹成分疫苗(Measles-containing Vaccine,MCV)、2剂A群脑膜炎球菌多糖疫苗(Group A Meningococcal Polysaccharide Vaccine,MPV-A)、2剂甲型肝炎灭活疫苗(Inactivated Hepatitis A Vaccine,HepA-I)和2剂流行性乙型脑炎减毒活疫苗(Japanese Encephalitis Attenuated Live Vaccine,JEV-L),共19剂NIPV的接种情况,发现所有疫苗剂次在CIIMS中的接种率均低于现场调查的结果,接种率差值>3%的疫苗剂次有第4剂DTP、第2剂MCV、第2剂JEV-L、第2剂HepA-I。除第1剂HepB以外,其他18剂疫苗在CIIMS中的接种率与现场调查的结果差异均有统计学意义(P<0.05)。结论 CIIMS中基于个案直接计算的NIPV接种率比现场调查的结果更加真实、准确,且具备获取便捷的优势,未来的接种率调查分析应更加侧重CIIMS的应用。
Objective To compare the immunization information management system (CIIMS) of children and field vaccination rate of National Immunization Program Vaccine (NIPV) to investigate the feasibility of obtaining NIPV vaccination rate based on CIIMS. Methods The field survey and CIIMS were used to survey and analyze the NIPV vaccination rate of children aged ≤ 2 years who were born from 2010 to 2011 in Tianjin. Results A total of 1 children were given BCG vaccine, 3 Hepatitis B Vaccine (HepB), 3 live attenuated oral polio vaccine, 3 Diphtheria Tetanus and Pertussis Combined vaccine Vaccine; DTP), 2 doses of Measles-containing Vaccine (MCV), 2 doses of Group A Meningococcal Polysaccharide Vaccine (MPV-A), 2 doses of Hepatitis A inactivated vaccine Inactivated Hepatitis A Vaccine, HepA-I) and 2 Japanese Encephalitis Attenuated Live Vaccine (JEV-L) vaccines. A total of 19 doses of NIPV were found. All vaccines were found in CIIMS The vaccination rates were lower than the results of the field survey. The vaccine doses with the difference in inoculum size> 3% were the fourth dose of DTP, the second dose of MCV, the second dose of JEV-L and the second dose of HepA-I. In addition to the first dose of HepB, 18 vaccines in CIIMS inoculation rates and field survey results were significantly different (P <0.05). Conclusion The direct vaccination rate of NIPV based on case-by-case calculation in CIIMS is more realistic and accurate than the field survey results, and has the advantage of convenient access. Therefore, the future vaccination rate survey should focus more on the application of CIPS.