Service de Gestion du Risque Infectieux, des Vigilances et Infectiologie, CHRU de Lille, 59037 Lille Cedex, France.
Med Mal Infect. 2013 Mar;43(3):114-7. doi: 10.1016/j.medmal.2013.02.002. Epub 2013 Mar 14.
Vaccine recommendations are the same for healthcare students than for other health care workers. The aim of this study was to describe mandatory and recommended vaccinal coverage and evaluate the benefit of systematic monitoring by a medical team in the Lille Medical School.
A survey was performed from June 2011 to August 2011 on all students in the first year of Health Care Studies. The personal immunization record was considered as evidence of vaccination. The reference vaccinal schedule was the one recommended by the French High Council for Public Health in 2011.
We analyzed the personal immunization records of 553 students. The vaccination coverage was 96.7% (535) for DTP, 74.7% (413) for hepatitis B, and 92.2% (510) of the students had a tuberculin test result. Concerning the recommended vaccinations, 78% (431) were covered for measles, and 78.9% (436) had a history of either chickenpox or its immunization. About 72.7% (402) of students were vaccinated for Haemophilus influenzae and Bordetella pertussis. Respectively, 24.2% (134) and 81% (448) had previously been vaccinated for Neisseria meningitis and tuberculosis. The monitoring of students allowed improving hepatitis B vaccination coverage by 22.28% (123). The student's vaccinal coverage was still inadequate for hepatitis B and measles. The systematic monitoring allowed significantly improving vaccinal coverage for hepatitis B.
疫苗接种建议对医学生和其他医护人员是相同的。本研究的目的是描述强制性和推荐性疫苗接种覆盖率，并评估医疗团队系统监测在里尔医学院的效果。
2011 年 6 月至 8 月，对健康照护专业一年级的所有学生进行了一项调查。个人免疫记录被视为接种疫苗的证据。参考疫苗接种时间表是法国公共卫生高级理事会在 2011 年推荐的时间表。
我们分析了 553 名学生的个人免疫记录。疫苗接种覆盖率为 DTP 疫苗 96.7%（535 人）、乙型肝炎疫苗 74.7%（413 人）和结核菌素试验结果 92.2%（510 人）。关于推荐的疫苗接种，麻疹疫苗接种覆盖率为 78%（431 人），且有 78.9%（436 人）有过水痘或其免疫接种史。约 72.7%（402 人）的学生接种了流感嗜血杆菌和百日咳疫苗。分别有 24.2%（134 人）和 81%（448 人）接种过脑膜炎奈瑟菌和结核疫苗。对学生的监测提高了乙型肝炎疫苗接种覆盖率 22.28%（123 人）。学生的疫苗接种覆盖率仍不足以预防乙型肝炎和麻疹。系统监测显著提高了乙型肝炎疫苗接种覆盖率。
