标题：2018年清镇市免疫规划疫苗损耗情况及影响因素分析

      作者：董芳，邓承凯    清镇市疾病预防控制中心，贵州 贵阳 551400

      卷次： 2019年30卷19期

      【摘要】 目的 分析清镇市免疫规划疫苗损耗情况及其影响因素，为完善疫苗管理和接种制度提供依据。方法 利用“贵州省儿童预防接种信息管理系统”客户端收集清镇市 2018年接种数据和疫苗使用数据，采用疫苗损耗系数评价疫苗损耗水平，并分析城乡间、不同接种周期和疫苗包装规格等因素对损耗率的影响。结果 2018年清镇市免疫规划疫苗使用 222 254人份，接种 203 642人份，使用率为 91.63%，损耗系数为1.09；城乡间、不同接种周期和疫苗包装规格的损耗率比较，差异均有统计学意义(P<0.05)。结论 2018年清镇市免疫规划疫苗损耗系数总体上控制在很好的水平；应结合接种门诊量、服务半径合理地设置接种门诊，进一步完善疫苗管理制度，加强接种技术培训，降低偏远乡镇的疫苗损耗。
      【关键词】 清镇市；免疫规划疫苗；损耗系数；损耗率；影响因素
      【中图分类号】 R19 【文献标识码】 A 【文章编号】 1003—6350（2019）19—2545—03

Analysis on the loss of vaccine for immunization program and its influencing factors in Qingzhen city in 2018．DONG Fang, DENG Cheng-kai.
Center for Disease Control and Prevention of Qingzhen City, Guiyang 551400, Guizhou,CHINA
【Abstract】 Objective To analyze the loss of vaccine for immunization planning and its influencing factors inQingzhen City, and provide evidence for improving vaccine management and vaccination system. Methods The clientof“Children's Vaccination Information Management System of Guizhou Province”was used to collect vaccination dataand vaccine use data of Qingzhen City in 2018. The vaccine loss coefficient was used to evaluate the level of vaccineloss, and the influence of factors on the loss rate were analyzed, including urban and rural areas, different inoculation cy-cles and vaccine packaging specifications. Results In 2018, 222, 254 vaccines for immunization planning were used inQingzhen City, and 203, 642 were inoculated. The utilization rate was 91.63%, and the loss coefficient was 1.09. Compari-son of the loss rate between urban and rural, different inoculation cycles and vaccine packaging specificationsshowed sta-tistically significant difference (P<0.05). Conclusion In 2018, the vaccine loss coefficient of immunization planning inQingzhen City is generally controlled at a very good level. The vaccination clinic should be set up reasonably according tothe vaccination outpatient volume and service radius, the vaccine management system should be further improved, and thevaccination technical training should be strengthened to reduce the vaccine loss in remote towns and villages.
      【Key words】 Qingzhen city; Immunization program vaccine; Loss coefficient; Loss rate; Influencing factors·短篇论著·doi:10.3969/j.issn.1003-6350.2019.19.029