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[免疫接种后的不良事件:17名0至2岁儿童的疑似预防接种异常反应]

[Adverse events following immunization: AEFI in 17 children between 0 and 2 years of age].

作者信息

Taraszkiewicz F, Bogus-Parafieniuk W, Ołdak E, Sulik A

机构信息

Klinika Chorób Zakaźnych Dzieci Akademii Medycznej w Białymstoku.

出版信息

Przegl Epidemiol. 1994;48(4):505-9.

PMID:7597191
Abstract

Adverse Events Following Immunization (AEFI) are disadvantageous side effects of preventive vaccination. In 1993 we found 17 cases of AEFI out of 1440 children between 0 and 2 years of age who had received BCG, diphtheria-tetanus-pertussis, measles or poliomyelitis vaccine. They were classified as reactions in 14 children (0.9%) or complications in 3 children (0.2%). Twelve adverse reactions followed DTP vaccination (0.8%), two followed BCG vaccination (0.14%), another two measles vaccination (0.14%) and one followed poliomyelitis vaccination (0.07%). Both generalized and local symptoms were present and they regressed with no further complications. Two children who had received BCG were noted to have a deeply placed abscess at the injection site remaining scar as well as axillary, submandibular and cervical lymph nodes enlargement within 6 months. In a 3 months old child, after the first injection of DTP vaccine, convulsions and consciousness disorder occurred. Transfontanel ultrasonography revealed intraventricular haemorrhage. After one year of intensive neurological care child's health state was improved. In spite of using still more and more safe vaccines none of them is the ideal one--the one with no adverse events following vaccination. Vaccination technics, distribution and storage of vaccines are to be improved which may result in decrease number of AEFI.

摘要

免疫接种后不良事件(AEFI)是预防性疫苗接种的不利副作用。1993年,在1440名0至2岁接种卡介苗、白喉-破伤风-百日咳、麻疹或脊髓灰质炎疫苗的儿童中,我们发现了17例AEFI。其中14名儿童(0.9%)被归类为反应,3名儿童(0.2%)被归类为并发症。12例不良反应发生在接种百白破疫苗后(0.8%),2例发生在接种卡介苗后(0.14%),另外2例发生在接种麻疹疫苗后(0.14%),1例发生在接种脊髓灰质炎疫苗后(0.07%)。全身和局部症状均有出现,且症状消退,未出现进一步并发症。2名接种卡介苗的儿童在6个月内被发现注射部位有深部脓肿,留有疤痕,同时伴有腋窝、颌下和颈部淋巴结肿大。一名3个月大的儿童在首次接种百白破疫苗后出现惊厥和意识障碍。经前囟超声检查发现脑室内出血。经过一年的强化神经护理,儿童的健康状况有所改善。尽管使用的疫苗越来越安全,但没有一种是理想的——即接种后没有不良事件的疫苗。疫苗接种技术、疫苗的分发和储存有待改进,这可能会减少AEFI的数量。

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