Dey Aditi, Wang Han, Quinn Helen, Cook Jane, Macartney Kristine
National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, University of Sydney and The Children's Hospital at Westmead, Sydney, Australia.
Pharmacovigilance and Special Access Branch, Therapeutic Goods Administration, Canberra, Australia.
Commun Dis Intell (2018). 2018;42. Epub 2018 Nov 16.
This report summarises Australian passive surveillance data for adverse events following immunisation (AEFI) for 2016 reported to the Therapeutic Goods Administration and describes reporting trends over the 17-year period 1 January 2000 to 31 December 2016. There were 3,407 AEFI records for vaccines administered in 2016; an annual AEFI reporting rate of 14.1 per 100,000 population. There was a 14% increase in the overall AEFI reporting rate in 2016 compared with 2015. This increase in reported adverse events in 2016, compared to the previous year, was mainly attributable to introduction of the booster dose of the diphtheria, tetanus, and acellular pertussis-containing vaccine (DTPa) at 18 months of age in March 2016 and the zoster vaccine for those aged 70-79 years in November 2016. AEFI reporting rates for most other individual vaccines in 2016 were similar to 2015. The most commonly reported reactions were injection site reaction (29%), pyrexia (19%), rash (17%), vomiting (8%) and headache (7%). The majority of AEFI reports (90%) were described as non-serious events and a 24% decline was observed in events classified as 'serious' in this reporting period compared to the previous reporting period. There were 2 deaths reported but no clear causal relationship with vaccination found.
本报告总结了2016年向治疗用品管理局报告的澳大利亚免疫接种后不良事件(AEFI)的被动监测数据,并描述了2000年1月1日至2016年12月31日这17年期间的报告趋势。2016年有3407条疫苗接种后的AEFI记录;AEFI年报告率为每10万人14.1例。与2015年相比,2016年AEFI总体报告率上升了14%。2016年报告的不良事件较上一年有所增加,主要归因于2016年3月引入了18月龄的白喉、破伤风和无细胞百日咳联合疫苗(DTPa)加强针,以及2016年11月为70 - 79岁人群引入了带状疱疹疫苗。2016年大多数其他单一疫苗的AEFI报告率与2015年相似。最常报告的反应为注射部位反应(29%)、发热(19%)、皮疹(17%)、呕吐(8%)和头痛(7%)。大多数AEFI报告(90%)被描述为非严重事件,与上一报告期相比,本报告期内分类为“严重”的事件减少了24%。报告了2例死亡,但未发现与疫苗接种有明确因果关系。