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目的评价北海市2010—2014年急性弛缓性麻痹(AFP)病例监测现况,为北海市AFP病例监测管理提供依据。方法对北海市2010—2014年AFP监测数据应用EPIinfo软件和Excel软件进行分析,对2014年现场督导资料进行描述性分析。结果北海市2010—2014年报告AFP病例51例,0~14岁儿童平均报告发病率为3.37/10万。5年间OPV的常规免疫接种率和强化免疫接种率均保持在95%以上。督导21家哨点医院门诊日志和住院登记787 895份,应报AFP病例51例,报告率100%,及时率100%,无漏报迟报。县级以上哨点医院的医务人员对AFP的报告时限、报告内容、采样要求等内容知晓率达90%以上。结论该市AFP监测系统灵敏性较高,接种率维持在较高水平,但还应继续加强乡级医务人员技术培训、增强报病意识、密切关注重点地区和重点人群免疫接种情况,继续维持无脊灰状态。
Objective To evaluate the status of AFP in Beihai City from 2010 to 2014 and provide basis for monitoring and management of AFP in Beihai. Methods The EPIinfo software and Excel software were used to analyze AFP data from 2010 to 2014 in Beihai City, and the descriptive analysis of 2014 field supervision data was carried out. Results 51 cases of AFP cases were reported in Beihai during 2010-2014, and the average reported incidence of children aged 0-14 years was 3.37 / 100000. OPV routine immunization and intensive immunization rates remained above 95% in 5 years. Overseeing the outpatient log and inpatient registration of 787 895 out of 21 sentinel hospitals, 51 cases of AFP cases should be reported with a report rate of 100% and a prompt response rate of 100%. Medical staff at sentinel hospitals above the county level have a 90% awareness of the reporting deadline, contents of reports and sampling requirements of AFP. Conclusion The AFP monitoring system in the city has higher sensitivity and higher vaccination rate. However, technical training of township medical staff should be strengthened to enhance the awareness of the disease-reporting and pay close attention to the immunization in key areas and key populations and continue to maintain the coverage Polio state.