第41卷第1期2023年2月广东医科大学学报JOURNALOFGUANGDONGMEDICALUNIVERSITYVol.41No.1Feb.2023792017-2021年汕头市龙湖区疑似预防接种异常反应监测分析卢瀚(汕头市龙湖区疾病预防控制中心,广东汕头515822)摘要:目的分析汕头市龙湖区2017-2021年疑似预防接种异常反应(AEFI)的发生率及发生特征,评价AEFI监测系统运转情况及接种疫苗的安全性。方法通过AEFI信息管理系统收集龙湖区2017-2021年报告的AEFI个案资料,采用描述流行病学方法对AEFI病例相关指标进行分析。结果龙湖区2017-2021年共报告AEFI个案141例(12.89/10万剂次),其中异常反应占50.4%(71/141)、一般反应占41.1%(58/141),其余占8.5%(12/141)。AEFI报告主要集中在4岁以内年龄段,5~8月报告数较多。报告涉及疫苗品种26种,发生率居前4位的疫苗分别为百白破疫苗、乙脑疫苗、麻风疫苗、麻腮风疫苗。结论龙湖区AEFI监测系统运转良好,所使用的疫苗安全性较好,需重点关注报告发生率高的疫苗,加强AEFI相关宣传和培训,提高监测质量。关键词:疑似预防接种异常反应;疫苗;监测中图分类号:R186文献标志码:A文章编号:2096-3610(2023)01-0079-04AnalysisonadverseeventsfollowingimmunizationinLonghuDistrictofShantouCityin2017-2021LUHan(LonghuCenterforDiseaseControlandPrevention,Shantou515822,China)Abstract:ObjectiveToanalyzetheincidenceandcharacteristicsofadverseeventsfollowingimmunization(AEFIs)inLonghuDistrictofShantouCityfrom2017to2021andevaluatetheoperationoftheAEFImonitoringsystemandthesafetyofvaccines.MethodsThedataofAEFIsreportedfrom2017to2021inLonghuDistrictwerecollectedthroughtheAEFIInformationManagementSystem.DescriptiveepidemiologymethodwasusedtoanalyzeAEFIrelatedindicators.ResultsAtotalof141casesofAEFIs(12.89/100thousanddoses)werereportedinLonghuDistrictduring2017to2021,ofwhichabnormaleventsaccountedfor50.4%(71/141),generaleventsaccountedfor41.1%(58/141),andtherestaccountedfor8.5%(12/141).TheAEFIsmainlyoccurredattheageunder4yearsoldandfromMaytoAugust.TheAEFIsinvolves26varietiesofvaccines,ofwhichthetopfourvaccineswiththehighestincidenceofAEFIswereDPTvaccine,JEvaccine,MRvaccineandMMRvaccine.ConclusionTheAEFImonitoringsystemofLonghuworkswell.Thevaccinesusedarerelativel...