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2016-2019 年广州市儿童接种肠道病毒 71 型灭活疫苗(EV71 疫苗)及 EV71 疫苗接种后不良反应分析。

Analysis of the coverage of inactivated enterovirus 71 (EV71) vaccine and adverse events following immunization with the EV71 vaccine among children from 2016 to 2019 in Guangzhou.

机构信息

Ministry of immunization, Guangzhou Center For Disease Control And Prevention.

Department of Film, Theatre & Television, University of Reading, Reading, UK.

出版信息

Expert Rev Vaccines. 2021 Jul;20(7):907-918. doi: 10.1080/14760584.2021.1933451. Epub 2021 Jun 7.

Abstract

: Since 2016, China has approved the use of inactivated enterovirus 71 (EV71) vaccines produced by three manufacturers. The coverage and safety of different EV71 vaccines need to be evaluated.: The EV71 vaccination and AEFI data were collected from the Guangzhou Children's Vaccination Information Report Management System and the China AEFI Monitoring Information Management System, and the EV71 vaccine coverage rate and the AEFI incidence rate were analyzed.: From 2016 to 2019, the number of people who should have been vaccinated in Guangzhou was 2,781,618, and the coverage rates for doses 1 and 2 were 24.71% and 19.44%, respectively. The inoculation rates of vaccines from manufacturers A and B were between 3.03 and 10.46%. The reported incidence of AEFIs was 11.97 per 100,000 (147 cases), with fever (106 cases, 8.63 per 100,000) and allergic rash (59 cases, 4.80 per 100,000) being the most common reactions. There were no differences in the AEFI responses to the EV71 vaccines from the three manufacturers.: The EV71 vaccines from the three manufacturers have good safety, but the EV71 vaccine coverage rate is low. It is recommended that vaccine publicity be strengthened and that the vaccine coverage rate in children be increased.

摘要

自 2016 年以来,中国已批准三家制造商生产的灭活肠道病毒 71 型(EV71)疫苗。需要评估不同 EV71 疫苗的覆盖范围和安全性。

从广州市儿童预防接种信息报告管理系统和中国疑似预防接种异常反应监测信息管理系统收集 EV71 疫苗接种和疑似预防接种异常反应(AEFI)数据,并分析 EV71 疫苗接种率和 AEFI 发生率。

2016 年至 2019 年,广州市应接种人数为 2781618 人,1 剂和 2 剂的接种率分别为 24.71%和 19.44%。A 型和 B 型疫苗的接种率在 3.03%至 10.46%之间。报告的 AEFI 发病率为每 10 万人 11.97 例(147 例),发热(106 例,每 10 万人 8.63 例)和过敏性皮疹(59 例,每 10 万人 4.80 例)是最常见的反应。三家制造商生产的 EV71 疫苗的 AEFI 反应没有差异。

三种制造商生产的 EV71 疫苗具有良好的安全性,但 EV71 疫苗的接种率较低。建议加强疫苗宣传,提高儿童疫苗接种率。

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