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1995年2月27日,由于接种人员严重违反操作规程.将卡介苗误为结核菌素,在235名小学生的左前臂1/2处各皮内注射0.05ml,造成了极坏的影响.事件发生后,青岛市及时组织医疗小组,对学生接种后的反应过程进行了细致的观察与相应的处理.1 事件经过1995年2月20日,某医院接种门诊接到区防疫站电话,称青岛市防疫站有一批失效期为3月1日的结核菌素,要求各接种门诊2月23～24日到区防疫站领取,接种对象为小学五年级学生.2月28日以前完成接种.因时间紧,区防疫站未进行常规培训,就将卡介苗和结核菌素同时发给各接种门诊.某医院接种门
On 27 February 1995, injecting 0.05 ml intradermally with 1/2 of the left forearm of 235 schoolchildren, resulting in a very bad impact, was misidentified as tuberculin by vaccinators because of a serious violation of the operating procedures. Qingdao City timely organized the medical team to conduct a careful observation and corresponding treatment of the reaction process after the inoculation of the students.1 The incident After February 20, 1995, a hospital inoculation clinic received a call from the district epidemic prevention station and called Qingdao Epidemic prevention station has a number of invalid tuberculin on March 1, requiring all vaccination clinics February 23 to 24 to the district epidemic prevention station to receive the vaccination of primary fifth grade students completed vaccination before February 28. Due to time Tightly, the district epidemic prevention station did not carry out regular training, will BCG and tuberculin at the same time sent to the vaccination clinic.