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目的了解和评价2011-2016年张家港市常规免疫接种率监测现状,提高免疫规划工作质量。方法对2011-2016年张家港市常规免疫接种率监测数据,采用差值(D)和比值(R)法进行数据分析。结果 2011-2016年张家港市20家预防接种门诊常规免疫接种报表报告完整率100.00%,卡介苗(BCG)、乙肝苗(HepB)、脊髓灰质炎苗(OPV)、百白破苗(DPT)和含麻疹成分疫苗(MCV)报告接种率均>99.00%,而估计接种率为77.65%~133.69%,与报告接种率相差较大。D值评价中,HepB、OPV为可信,BCG、DPT、MCV为可疑。R值评价中,仅OPV/DPT为可信。结论 2011-2016年张家港市常规免疫报告接种率与估计接种率存在差距,主要与应种儿童数掌握方法不一致有关,且与流动儿童免疫规划管理不完善有关。因此,应科学掌握人口数据,加强流动儿童管理,以提高接种质量和监测水平。
Objective To understand and evaluate the status of routine immunization surveillance in Zhangjiagang City from 2011 to 2016 and improve the quality of immunization planning. Methods The monitoring data of routine immunization rates in Zhangjiagang from 2011 to 2016 were analyzed by using difference (D) and ratio (R) methods. Results The results of routine immunization in 20 vaccination clinics in Zhangjiagang from 2011 to 2016 were 100.00%, BCG, HepB, OPV, DPT, Measles vaccine (MCV) reported inoculation rates were> 99.00%, and the estimated vaccination rate was 77.65% ~ 133.69%, with the reported vaccination rate difference. D value evaluation, HepB, OPV is credible, BCG, DPT, MCV is suspicious. R value evaluation, only OPV / DPT is credible. Conclusion There is a gap between the vaccination coverage and the estimated vaccination coverage rate of routine immunization reports in Zhangjiagang City in 2011-2016, which is mainly related to inconsistencies in the number of children to be vaccinated and related to the imperfect management of immunization programs for migrant children. Therefore, we should master the population data scientifically and strengthen the management of floating children in order to improve the quality and level of vaccination.