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目的了解河北省儿童免疫规划疫苗接种情况,为指导今后免疫规划工作和制定相应政策提供科学依据。方法2013-11采取批质量保证抽样(LQAS)方法,调查河北省11个市34个县区34个乡镇170个行政村共1 428名儿童。结果河北省卡介苗、脊灰疫苗、百白破疫苗、含麻疹成分疫苗、乙肝疫苗、乙脑疫苗、A群流脑疫苗、甲肝疫苗基础免疫合格接种率分别为:99.79%、96.22%、95.10%、91.81%、95.45%、78.29%、86.34%和80.11%;乙肝疫苗首针及时率为94.47%;百白破疫苗、含麻疹成分疫苗、乙脑疫苗加强免疫合格接种率为87.25%、89.50%和86.12%。疫苗不合格发生率在0.14%~21.64%之间。超期接种发生率,乙脑疫苗最高,卡介苗最低。疫苗未接种共42剂次,甲肝疫苗最多。结论2013年河北省卡介苗、脊灰疫苗、百白破疫苗、乙肝疫苗、含麻疹成分疫苗基础免疫合格接种率保持较高水平,明显高于扩大免疫规划后新增疫苗。疫苗不合格接种发生率较高,疫苗未种原因存在多种方面,今后应重点做好预防接种管理工作,提高疫苗的合格接种率。
Objective To understand the situation of vaccination of childhood immunization programs in Hebei Province and provide scientific basis for guiding the future immunization planning and formulating corresponding policies. Methods 2013-11 A batch quality assurance sampling (LQAS) method was used to investigate a total of 1,428 children in 170 administrative villages in 34 townships and 34 counties in 11 cities of Hebei Province. Results The eligible immunization rates of BCG vaccine, polio vaccine, diphtheria vaccine, measles-containing vaccine, hepatitis B vaccine, Japanese encephalitis B vaccine, group A meningitis vaccine and hepatitis A vaccine were 99.79%, 96.22% and 95.10% , 91.81%, 95.45%, 78.29%, 86.34% and 80.11%, respectively. The first-dose timely response rate of hepatitis B vaccine was 94.47%. The vaccination rates of diphtheriae vaccine, measles-containing vaccine and JE vaccine were 87.25% And 86.12%. The incidence of unqualified vaccines was between 0.14% and 21.64%. The incidence of over-vaccination, Japanese encephalitis vaccine highest, BCG lowest. A total of 42 vaccinations were not vaccinated, hepatitis A vaccine up. Conclusions The basic immunocommunicable vaccination rates of BCG vaccine, polio vaccine, diphtheria toxoid vaccine, hepatitis B vaccine and measles containing vaccine in Hebei Province maintained a high level in 2013, which was obviously higher than that after vaccination was expanded. The incidence of unqualified vaccination vaccines is high, there are many reasons for the vaccine is not species in the future should focus on doing vaccination management, improve the vaccination qualified rate.