儿童预防接种信息管理系统和现场调查适龄儿童国家免疫规划疫苗接种率统计结果的比较分析Comparison of National Immunization Program Childhood Vaccine Coverage Determined by the Children's Immunization Information Management System with Coverage Determined by Field Investigation
陈伟,李永成,骆晓艳,曲江文,张颖
摘要(Abstract)：
目的比较儿童预防接种信息管理系统(Children Immunization Information Management System,CIIMS)和现场调查适龄儿童国家免疫规划疫苗(National Immunization Program Vaccine,NIPV)接种率统计结果,验证依托CIIMS获取NIPV接种率的可行性。方法通过现场调查和CIIMS对天津市2010~2011年出生的≤2岁儿童NIPV接种率进行调查统计和比较分析。结果调查分析儿童1剂卡介苗、3剂乙型肝炎疫苗(Hepatitis B Vaccine,HepB)、3剂口服脊髓灰质炎减毒活疫苗、3剂白喉-破伤风-百日咳联合疫苗(Diphtheria,Tetanus and Pertussis Combined Vaccine;DTP)、2剂含麻疹成分疫苗(Measles-containing Vaccine,MCV)、2剂A群脑膜炎球菌多糖疫苗(Group A Meningococcal Polysaccharide Vaccine,MPV-A)、2剂甲型肝炎灭活疫苗(Inactivated Hepatitis A Vaccine,HepA-I)和2剂流行性乙型脑炎减毒活疫苗(Japanese Encephalitis Attenuated Live Vaccine,JEV-L),共19剂NIPV的接种情况,发现所有疫苗剂次在CIIMS中的接种率均低于现场调查的结果,接种率差值>3%的疫苗剂次有第4剂DTP、第2剂MCV、第2剂JEV-L、第2剂HepA-I。除第1剂HepB以外,其他18剂疫苗在CIIMS中的接种率与现场调查的结果差异均有统计学意义(P<0.05)。结论 CIIMS中基于个案直接计算的NIPV接种率比现场调查的结果更加真实、准确,且具备获取便捷的优势,未来的接种率调查分析应更加侧重CIIMS的应用。
关键词(KeyWords)： 儿童预防接种信息管理系统;现场调查;接种率
基金项目(Foundation):
作者(Author): 陈伟,李永成,骆晓艳,曲江文,张颖
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