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1989年~1990年丰台区发生白喉暴发流行,1991年东高地地区发生3例成人麻疹,提示我们进行健康人群血清抗体监测,以科学地指导防疫工作。我处于1991年10月随机抽取2~39岁健康人群197名,进行白喉、麻疹抗体水平监测,监测结果显示:白喉抗体阳性率95.43%,比1990年北京市监测结果(87.30)高出8.13%,GmT0.2556Iu/ml,比1990年北京市监测结果0.125Iu/ml提高0.1306Iu/ml。麻疹HI抗体阳性率98.5%,其中高抗率66.5%,GmT在1:45.2587~1:20.1587之间。加强免疫后一年免疫抗体逐渐下降,维持在1:20~1:6.3496之间。通过监测,我院对抗体阴性及低抗人群及时补菌,致使1992~1993年无相应疫情发生。预计近几年在我院将可控制白喉、麻疹多发生暴发疫情。
Diphtheria outbreak was reported in Fengtai District from 1989 to 1990. Three adult measles cases occurred in East Highland in 1991, which prompted us to monitor serum antibodies in healthy population and guide the epidemic prevention work scientifically. I was in October 1991 randomly selected 197 healthy subjects aged 2 to 39 years, diphtheria, measles antibody levels were monitored, the results showed that: diphtheria antibody positive rate of 95.43%, compared with the 1990 Beijing monitoring results (87.30) 8.13% higher than GmT0.2556Iu / ml, which is 0.1306Iu / ml higher than the 0.125Iu / ml monitoring result of Beijing in 1990. Measles HI antibody positive rate of 98.5%, of which 66.5% high resistance rate, GmT between 1: 45.2587 ~ 1: 20.1587. One year after the booster immunization, the antibody level gradually decreased and remained at 1: 20-1: 6.3496. Through monitoring, our hospital antibody negative and low anti-population timely bacteria, resulting in no corresponding epidemic in 1992 to 1993. Expected in recent years in our hospital will be able to control diphtheria, measles and more outbreaks.