首页|2017-2022年北京市某区出生队列儿童13价肺炎球菌结合疫苗接种情况和安全性分析

2017-2022年北京市某区出生队列儿童13价肺炎球菌结合疫苗接种情况和安全性分析

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目的 了解2017-2022年北京市某区适龄儿童13价肺炎球菌结合疫苗(13-valent pneumococcal conjugate vaccine,PCV13)各剂次接种率,以及疑似预防接种异常反应(adverse event following immunization,AEFI)分类报告率.方法 基于"北京市预防接种管理系统"分析2017-2022年出生队列儿童PCV13接种信息,计算疫苗接种率;通过"中国疾病预防控制信息系统"获得疫苗AEFI报告数据,统计AEFI分类报告率.结果 第1剂次PCV13接种率从2017年的7.90%上升至2021年的41.96%(x2a势=5 474.343,P<0.01).AEFI总报告率为7.47/万(52例),其中一般反应、异常反应分别为7.07/万(49例)和0.43/万(3例),发热、局部红肿、局部硬结、过敏性皮疹分别为5.17/万(36例)、2.30/万(16例)、0.86/万(6例)、0.43/万(3例).结论 2017-2021年北京市某区出生队列儿童PCV13接种率呈升高趋势;AEFI以一般反应为主,临床表现以发热较为常见;日常还需提高接种台数较多和门诊日频率较低的门诊AEFI监测敏感性.
Analysis on vaccination status and safety of 13 valent pneumococcal conjugate vaccine among children born in a certain district of Beijing from 2017 to 2022
Objective To understand the vaccination rates of each dose of the 13-valent pneumococcal conjugate vaccine(PCV13)for school-age children in a certain district of Beijing,as well as the classified reporting rate of suspected event following immunization(AEFI).Methods Based on the"Beijing Vaccination Management System"to analyze the PCV13 vaccination information of children in the birth cohort from 2017 to 2022,and calculate the vaccination rate.Obtain vaccine AEFI report data through the"China Disease Prevention and Control Information System",and calculate the AEFI classification report rate.Results The first dose PCV13 vaccination rate increased from 7.90%in 2017 to 41.96%in 2021(x2trend=5474.34,P<0.01).The total reporting rate of AEFI was 7.47/10 000(52 cases),with general reactions and abnormal reactions being 7.07/10 000(49 cases)and 4.33/10 000(3 cases),respectively.Fever,local redness and swelling,local induration,and allergic rash were 5.17/10 000(36 cases),2.30/10 000(16 cases),0.86/10 000(6 cases),and 0.43/10 000(3 cases),respectively.Conclusion From 2017 to 2021,the PCV13 vaccination rate among children in the birth cohort in a certain district of Beijing showed an upward trend.AEFI is mainly characterized by general reactions,with fever being the most common clinical manifestation.It is necessary to improve the sensitivity of AEFI monitoring in outpatient clinics with a large number of vaccinations and a low frequency of outpatient days in daily life.

13-valent pneumococcal conjugate vaccineVaccination rateSuspected abnormal reaction to vaccination

唐莹、王凤双、肖雷

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北京市顺义区疾病预防控制中心免疫规划科,北京 101300

13价肺炎球菌结合疫苗 接种率 疑似预防接种异常反应

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(21)