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[穆尔西亚卫生服务机构医护人员麻疹防护流行情况研究]

[Study of prevalence of protection against measles in health workers of Murcia Health Service].

作者信息

Galián Muñoz Inmaculada, Gómez Pellicer María Dolores, Grau Polán Marina, Llorach Asunción Isabel Mª

机构信息

Servicio de Prevención de Riesgos Laborales del Servicio Murciano de Salud. Murcia. España.

出版信息

Rev Esp Salud Publica. 2019 Mar 5;93:e201903009.

PMID:30833540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11583090/
Abstract

OBJECTIVE

In the month of April 2017, two cases of measles were reported in one of the basic health zones (ZBS) of the Region of Murcia. The Occupational Risk Prevention Services of the Murcian Health Service (SMS) were urged to review the immunological status of health workers, born as of 1971, from Primary Care Centers, referral hospitals and emergency services that cover the affected area with the general objective of preventing the appearance of a possible outbreak of measles in this personnel, checking the protection of these workers against this disease (the vaccine status and / or the serological status (IgG)) and offering the vaccine to non-immune workers.

METHODS

A descriptive study of the prevalence of protection against measles of this group of workers during the period from January to February 2017 was carried out. Initially, the stories of the workers for whom data were available were reviewed, and cited for the provision of vaccine data (90) or extraction of serology to those for whom data were not available (138).

RESULTS

408 medical records / workers were reviewed. At the end of the study, we did have data about the vaccination of 22.1% of the workers and serology of the 33.8%. 91.5% of the workers for whom we had data were protected against measles.

CONCLUSIONS

We can conclude that the coverage among our workers is lower than that proposed by the Measles and Rubella Elimination Plan, so a program to promote vaccination against this disease among health personnel would be advisable.

摘要

目的

2017年4月,穆尔西亚地区的一个基本卫生区(ZBS)报告了两例麻疹病例。穆尔西亚卫生服务局(SMS)的职业风险预防服务部门被敦促审查1971年及以后出生的、来自覆盖受影响地区的基层医疗中心、转诊医院和急救服务部门的医护人员的免疫状况,总体目标是防止这些人员中可能出现麻疹疫情,检查这些工作人员对该疾病的防护情况(疫苗接种状况和/或血清学状况(IgG)),并为未免疫的工作人员提供疫苗。

方法

对2017年1月至2月期间该组工作人员的麻疹防护流行情况进行了描述性研究。最初,审查了有可用数据的工作人员的病历,并传唤有可用疫苗接种数据的人员(90人)或为无可用数据的人员提取血清学样本(138人)。

结果

审查了408份病历/工作人员。在研究结束时,我们掌握了22.1%的工作人员的疫苗接种数据和33.8%的工作人员的血清学数据。有数据的工作人员中91.5%对麻疹有防护。

结论

我们可以得出结论,我们工作人员中的疫苗接种覆盖率低于麻疹和风疹消除计划提出的覆盖率,因此在卫生人员中开展一项促进针对该疾病的疫苗接种的计划是可取的。

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本文引用的文献

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[Surveillance Plan on Recent Outbreak of Measles and Rubella in Catalonia, Spain].[西班牙加泰罗尼亚近期麻疹和风疹疫情监测计划]
Rev Esp Salud Publica. 2015 Jul-Aug;89(4):397-406. doi: 10.4321/S1135-57272015000400008.
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[Immunization Programme and Coverage against Measles and Rubella in Spain. Challenges for Achieving their Elimination].[西班牙的麻疹和风疹免疫规划及疫苗接种覆盖率。实现消除这两种疾病面临的挑战]
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