Watson John T, Ramirez Enrique, Evens Anne, Bellini William J, Johnson Hope, Morita Julie
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Public Health Rep. 2006 May-Jun;121(3):262-9. doi: 10.1177/003335490612100307.
We compared the prevalence of measles immunization determined by serology with the prevalence of measles immunization determined by immunization records, and identified factors predictive of measles immunization among a sample of children from two Chicago communities.
We collected demographic information and blood specimens from a sample of children aged 12-71 months in two Chicago communities at risk for low measles immunization coverage levels. We collected immunization information from provider records, parent-held records, and the statewide immunization registry. We compared evidence of immunization determined by serology with evidence of immunization from these three sources of immunization records.
The sample of children from the two communities had serologic measles immunity levels of 85% and 90%. Significantly fewer children had evidence of immunization by record in both communities (45% and 63%, respectively).
Immunization coverage levels determined using immunization records were significantly lower than immunization coverage determined using serology. A fully populated immunization registry used by all immunization providers could prevent the problems of record loss and scatter.
我们比较了通过血清学检测确定的麻疹免疫接种率与通过免疫接种记录确定的麻疹免疫接种率，并在来自芝加哥两个社区的儿童样本中确定了预测麻疹免疫接种的因素。
我们从芝加哥两个麻疹免疫接种覆盖率较低的社区中，选取了年龄在12至71个月的儿童样本，收集了他们的人口统计学信息和血液样本。我们从医疗机构记录、家长保存的记录以及全州免疫接种登记处收集了免疫接种信息。我们将血清学检测确定的免疫接种证据与这三种免疫接种记录来源的免疫接种证据进行了比较。
来自这两个社区的儿童样本中，血清学检测显示的麻疹免疫水平分别为85%和90%。在这两个社区中，通过记录显示有免疫接种证据的儿童明显更少（分别为45%和63%）。
使用免疫接种记录确定的免疫接种覆盖率显著低于使用血清学检测确定的免疫接种覆盖率。所有免疫接种提供者使用的完整的免疫接种登记处可以避免记录丢失和分散的问题。
