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目的探索扬州市预防接种证查验关口前移新方案,并评价实施效果。方法扬州市2014年5月设计并实施预防接种证查验新方案,关键点是将招生单位收取预防接种证改为收取预防接种单位出具的预防接种证明,使预防接种证查验关口前移,及时发现漏种儿童并补种相关疫苗;评价新方案实施前后适龄儿童免疫规划(NIP)疫苗的接种率。结果新方案实施前后2013、2014、2015年扬州适龄儿童3剂次乙型肝炎疫苗(Hep B3)接种率分别为99.2%、99.2%、99.8%;3剂次脊髓灰质炎减毒活疫苗(OPV3)接种率分别为99.3%、98.1%、99.9%;3剂次百白破联合疫苗(DTP3)接种率分别为98.8%、97.5%、99.8%;麻疹风疹联合减毒活疫苗(MR)接种率分别为98.8%、98.6%、99.6%;麻腮风联合减毒活疫苗(MMR)接种率分别为98.1%、98.0%、99.7%;第1剂次A群C群脑膜炎球菌疫苗(MenAC1)接种率分别为91.2%、91.0%、99.8%;MenAC2接种率分别为54.4%、59.0%、95.3%;白喉破伤风联合疫苗(DT)接种率分别为56.1%、84.0%、97.0%。经x~2检验,各疫苗接种率在2013、2014和2015年之间均具有显著性差异。结论预防接种证查验新方案有效提高了扬州市NIP疫苗接种率,可供其他地区借鉴。
Objective To explore the new scheme of pre-trial of vaccination card for Yangzhou Municipality, and evaluate the implementation effect. Methods In May 2014, Yangzhou City designed and implemented a new scheme for the examination of vaccination certificates. The key point is to replace the vaccination certificates collected by enrollment units with the vaccination certificates issued by vaccination units so as to make the precautionary certification for vaccination cards move forward and find out in time Leakage of children and re-vaccination; Evaluation of the new program before and after the implementation of age-appropriate immunization program (NIP) vaccination rate. Results Before and after the implementation of the new program, the vaccination rates of three doses of Hep B3 in Yangzhou were 99.2%, 99.2% and 99.8% respectively in 2013, 2014 and 2015. Three doses of live attenuated poliovirus (OPV3 ) Inoculation rates were 99.3%, 98.1% and 99.9% respectively. The inoculation rates of three doses of DTP3 were 98.8%, 97.5% and 99.8% respectively. The vaccination rate of measles and rubella combined attenuated live vaccine (MR) (MMR) were 98.1%, 98.0% and 99.7%, respectively. The first dose of MenAC1 group A group C meningococcal vaccine (MMR) The inoculation rates were 91.2%, 91.0% and 99.8% respectively. MenAC2 inoculation rates were 54.4%, 59.0% and 95.3%, respectively. Vaccination rates of diphtheria tetanus and tetanus were 56.1%, 84.0% and 97.0%, respectively. After x ~ 2 test, the vaccination rates between 2013, 2014 and 2015 were significantly different. Conclusion The new scheme of vaccination card examination can effectively increase the vaccination rate of NIP vaccine in Yangzhou City and can be used for reference in other areas.