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南通市流动儿童免疫规划相关疾病免疫水平监测结果分析 预览 被引量:8

Analysis on surveillance results of antibody levels against Immunization Program--related diseases among floating children in Nantong City
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摘要 目的评价南通市外来从事规模种植业农民、砖窑厂工人及渔船民0~7岁子女免疫规划相关疾病免疫水平,为制订流动儿童预防接种管理措施提供依据。方法采用分层整群抽样调查法,对南通市9个县(市、区)外来人口集聚地流动儿童抗体水平进行检测并作统计学分析。结果乙肝抗-HbsAg阳性率76.17%;脊髓灰质炎Ⅰ、Ⅱ、Ⅲ型抗体阳性率和抗体几何平均滴度(GMT)分别为96.11%、97.28%、94.94%和1:439.43、1:295.34、1:93.613;白喉抗体阳性率和抗体GMT分别为76.71%、1:10.836;百日咳抗体阳性率和抗体水平分别为22.41%、15.976IU/m1;破伤风抗体阳性率和抗体GMT分别为67.87%、1:33.644;麻疹抗体阳性率和抗体水平分别为94.74%、1105.1mIU/ml;A群流脑抗体阳性率和抗体GMT分别为64.78%、1:11.522;乙脑抗体阳性率和抗体GMT分别为62.89%、1:11.704。结论脊灰、麻疹阳性率和抗体水平均较高,对这部分人群的保护较好。而乙肝、白喉、百日咳、破伤风、A群流脑、乙脑阳性率偏低,显示本市上述行业流动儿童免疫覆盖水平不足,易受到相关传染病的侵袭,预防接种工作有待于进一步加强。 Objective To evaluate the vaccination efficacy and immunity among children aged 0-- 7 years whose parents were migrant farmers, workers and fishermen in Nantong City, and to provide the evidence for the immunization strategy. Methods Using stratified cluster random sampling method, serum samples were collected from the floating children at gathering places in 9 counties of Nantong City to detect immune antibody levels, and the results were statistically analyzed. Results It was found that the positive rate of Hepatitis B was 76.17%, of poliomyelitis Ⅰ , Ⅱ,Ⅲ ,diphtheria, pertussis, tetanus, measles, epidemic cerebrospinal meningitis group A and encephalitis B antibody were 96.11 %%, 97.28%, 94.94 %, 76.71 %, 22.41%, 67.87 %, 94. 74%,64.78% and 62.89%, respectively; and the antibody levels were 1: 439.43,1: 295.34,1:93. 613,1:10. 836,15. 976 IU/ ml, 1:33. 644, 1105. lmIU/ml, 1:11. 522,and 1:11. 704,respectively. Conclusion The positive rates of poliomyelitis Ⅰ , Ⅱ,Ⅲ and measles antibody were higher, which meant the children were better protected. However, the positive rates of Hepatitis B, diphtheria, pertussis, tetanus, epidemic cerebrospinal meningitis group A and encephalitis B antibody were lower which indi- cated that the inadequate immunization coverage rates for these children who were more vulnerable to relevant infections. Therefore, standardized management of vaccination should be further strengthened among the floating children.
作者 陶长余 张志兰 毕诚 陆培善 冷红英 吴昀 胡莹 邓秀英 TAO Chang--yu , ZHANG Zhi--lan, BI Cheng, LU Pei--shan, LENG Hong--ying, WU Yun, HU Ying, DENG Xiu--ying * Nantong Center for Disease Control and Prez,ention, Nantong 226007, China
出处 《江苏预防医学》 CAS 2012年第3期 30-33,共4页 Jiangsu Journal of Preventive Medicine
基金 江苏省预防医学基金资助项目(YZC1002)
关键词 流动儿童 计划免疫 免疫水平 floating children Expanded Program on Immunizatiom immunization levels
作者简介 陶长余(1979-),男,江苏南通人,主管医师。
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