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目的了解保定市非疫苗可预防传染病(Vaccine Preventable Diseases,VPD)儿童国家免疫规划(National Immunization Program,NIP)疫苗的接种情况。方法随机抽取保定市5个山区县和5个平原县的非VPD儿童个案,通过在儿童预防接种信息管理系统获取儿童NIP疫苗接种情况并进行分析评价。结果在7 159名非VPD儿童中,卡介苗(Bacilli Calmette-Guérin Vaccine,BCG)、3剂乙型肝炎(乙肝)疫苗(Hepatitis B Vaccine,HepB1-3)、3剂口服脊髓灰质炎(脊灰)减毒活疫苗(Oral Poliomyelitis Attenuated Live Vaccine,OPV1-3)、3剂无细胞百白破联合疫苗(Diphtheria Tetanus and Acellular Pertussis Combined Vaccine,DtaP1-3)、2剂含麻疹成分疫苗(Measles-containing Vaccine,MCV1-2)、第1剂乙型脑炎(乙脑)减毒活疫苗(Japanese Encephalitis Attenuated Vaccine,JEV1)、第1剂A群脑膜炎球菌多糖疫苗(Group A Meningococcal Polysaccharide Vaccine,MPV-A1)接种率均>92%,其中HepB1接种率最高,为99.30%。甲型肝炎(甲肝)减毒活疫苗(Hepatitis A Attenuated Live Vaccine,Hep A-L)接种率最低,为85.11%;MCV1及时接种率为56.64%。非VPD儿童各疫苗接种率女性普遍高于男性、山区高于平原、本县区高于其他县区、随年龄增长而升高,普遍低于全市儿童接种率。结论保定市非VPD儿童疫苗接种率普遍较高,首针HepB和BCG纳入产科医院接种可以提高接种率;需提高新纳入NIP疫苗接种率和MCV1及时接种率。
Objective To understand the vaccination status of Vaccine Preventable Diseases (VPD) children’s National Immunization Program (NIP) vaccine in Baoding city. Methods The cases of non-VPD children in 5 mountain counties and 5 plain counties of Baoding city were randomly selected. The children’s NIP vaccination situation was obtained and analyzed and evaluated in the information system of vaccination of children. Results Among 7 159 non-VPD children, Bacilli Calmette-Guérin Vaccine (BCG), three Hepatitis B Vaccine (HepB1-3), three oral poliomyelitis (poliomyelitis) Oral Poliomyelitis Attenuated Live Vaccine (OPV1-3), 3 Diphtheria Tetanus and Acellular Pertussis Combined Vaccine (DtaP1-3), 2 Measles-containing Vaccine , MCV1-2), Japanese Encephalitis Attenuated Vaccine (JEV1), Group A Meningococcal Polysaccharide Vaccine (MPV-A1 ) Vaccination rates were> 92%, of which HepB1 highest vaccination rate was 99.30%. The lowest vaccination rate of Hepatitis A Attenuated Live Vaccine (Hep A-L) was 85.11%, and the timely vaccination rate of MCV1 was 56.64%. The vaccination rate of non-VPD children was generally higher than that of men, higher than that of men in mountainous areas, higher in this county than in other counties, and increased with advancing age, which was generally lower than that of the whole city. Conclusion The vaccination rate of non-VPD children in Baoding is generally high. The first vaccination with HepB and BCG in obstetrics and gynecology hospital can increase the vaccination rate. The newly-included NIP vaccination rate and MCV1 timely vaccination rate should be increased.