[Study on the influencing factors of hepatitis B vaccine timely birth dose for infants born at hospitals].

中国疫苗和免疫 Pub Date : 2009-10-01
Yuan-Sheng Hu, Zheng-Rong Ding, Guo-Fei Huang
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Abstract

Objective: To study the coverage of timely birth dose of HepB vaccine (HepB1) and reasons contributed to the non-timely of HepB1 for the infants delivered in the hospital of remote and poverty areas in Yunnan province, and to bring forword the special strategies to improve the coverage of HepB of infants born at those hospitals.

Methods: According to the reported coverage and the estimated coverage of HepB1 vaccine, the HepB coverage of infants born at hospitals was investigated by sampling in Zhaotong and Xishuangbanna in 2007.

Results: The average coverage of HepB1 of infants born at the local hospitals was 67.19%, and the HepB1 coverage of infant was higher in county hospitals than in township hospitals. Infants with premature, low birth weight and asphyxia and the shortage of HepB vaccine were the mainly reasons to the non-timely HepB1 of infants born at hospitals.

Conclusion: The HepB1 coverage of infants was still keep at low level in the local hospital; and to assure enough HepB vaccine in the village hospitals and to grasp immunization contraindication correctly were the two key strategies to promote the HepB1 coverage for infants born at the local hospitals.

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[医院出生婴儿乙肝疫苗及时出生剂量的影响因素研究]。
目的:了解云南省偏远贫困地区医院出生婴儿乙肝疫苗(HepB1)的及时接种覆盖率及不及时接种的原因,并提出提高偏远贫困地区医院出生婴儿乙肝疫苗(HepB1)覆盖率的专项对策。方法:根据乙型肝炎疫苗报告接种率和估计接种率,对昭通市和西双版纳市2007年医院出生婴儿乙型肝炎疫苗接种率进行抽样调查。结果:地方医院新生儿HepB1平均覆盖率为67.19%,县医院新生儿HepB1覆盖率高于乡镇医院。早产儿、低出生体重、新生儿窒息及HepB疫苗不足是医院出生婴儿HepB1未及时检测的主要原因。结论:地方医院婴儿HepB1覆盖率仍处于较低水平;确保村卫生院有足够的乙肝疫苗和正确掌握免疫禁忌症是提高地方医院出生婴儿乙肝疫苗覆盖率的两个关键策略。
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