Hansen N H
J Fam Pract. 1980 Oct;11(4):537-42.
The literature reveals serious shortcomings in rubella immunization programs since the introduction of rubella vaccine in 1969. Current programs may be supplemented by immunizing susceptible women in the childbearing years. Family physicians are in an ideal position to add this service for their practice populations. Existing methods in two practices were assessed by chart review and found to be disorganized. Testing of immunity was haphazard and incomplete, only occasionally being followed by immunization when indicated. A method of approaching this problem in the context of provision of service in everyday practice was established and evaluated. It is concluded that preventive measures are more successful if proposed during routine patient visits for other reasons. The distribution of rubella HI antibody titers in women from ages 12 to 40 years in this practice are displayed, along with the success rate of vaccination with RA27/3 vaccine (Almevax) and the frequency and nature of adverse effects. The superiority of response to this vaccine is demonstrated, as is the practicability of inclusion of Rubella HI testing and vaccination in the daily provision of care in a family practice.
自1969年引入风疹疫苗以来，文献揭示了风疹免疫规划存在严重缺陷。目前的规划可通过对育龄易感妇女进行免疫接种来加以补充。家庭医生处于为其执业人群增加此项服务的理想位置。通过病历审查评估了两种执业方式中的现有方法，发现其杂乱无章。免疫检测随意且不完整，仅在有指征时偶尔在检测后进行免疫接种。建立并评估了一种在日常执业服务背景下解决此问题的方法。得出的结论是，如果在因其他原因进行的常规患者就诊期间提出预防措施，则更为成功。展示了该执业机构中12至40岁女性风疹血凝抑制（HI）抗体滴度的分布情况，以及RA27/3疫苗（Almevax）的接种成功率和不良反应的频率及性质。证明了对该疫苗反应的优越性，以及在家庭医疗日常护理中纳入风疹HI检测和接种的可行性。
