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[基层医疗中心的疫苗冷链中断及经济评估]

[Vaccine cold chain interruption in a primary care center and economic evaluation].

作者信息

Larena Fernández Israel, Vara Callau Marta, Peña Blasco Guillermo, Atance Melendo Esther, Gay Gasanz Blanca, Pérez-Aramendía María Jesús Blasco

机构信息

Enfermero especialista en Pediatría, Hospital Universitario Miguel Servet, Zaragoza, España.

Pediatra, Hospital Barbastro, Huesca, España.

出版信息

Enferm Clin. 2017 Jan-Feb;27(1):44-48. doi: 10.1016/j.enfcli.2016.07.012. Epub 2016 Sep 15.

Abstract

OBJECTIVES

Cold chain control is one of the most important facts to ensure the effectiveness of vaccines links, which requires specific material and human resources for management. The principal objective is to evaluate the interruptions in cold chain of the last 6 years and the possible cost savings that would result in further improvements.

METHOD

A retrospective and descriptive study based on a review of all cold chain interruptions during the last 6 years, at Valdefierro Primary Health Center.

RESULTS

We had 5 interruptions, the maximum temperature reached was 23.1±3.4°C and the longest interruption lasted 25.2±20.7hours. 1611 vaccines were affected and 165 discarded. Total economic loss was 2.098,10 € and 33.611,64 € were savings. The electrical failure was the disruption cause in 5 cases.

CONCLUSIONS

Equipment and staff are essential. The center did some corrective actions, such as minimizing refrigerator time control, minimum stock control, considering population changes, and the center has requested a electrical supply system.

摘要

目的

冷链控制是确保疫苗各环节有效性的最重要因素之一,这需要特定的物资和人力资源进行管理。主要目的是评估过去6年冷链的中断情况以及进一步改进可能带来的成本节约。

方法

一项回顾性描述性研究,基于对瓦尔迪菲耶罗初级卫生中心过去6年所有冷链中断情况的审查。

结果

我们有5次中断,最高温度达到23.1±3.4°C,最长中断持续25.2±20.7小时。1611支疫苗受到影响,165支被丢弃。总经济损失为2098.10欧元,节约了33611.64欧元。5起中断事件的原因均为停电。

结论

设备和人员至关重要。该中心采取了一些纠正措施,如尽量减少冰箱时间控制、最低库存控制、考虑人口变化等,并且该中心已申请电力供应系统。

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