YANG Lai-bao;ZHOU Cui-ping;XIAO Shao-tan;DENG Peng-fei;CHEN Hong-ying;FEI Yi;Pudong New Area Center for Disease Control and Prevention,Shanghai;Objective To analyze the characteristics of adverse events following immunization(AEFI)reaction of Haemophilus influenzae b(Hib)containing vaccines. Methods The data on AEFI of Hib containing vaccines reported in Pudong New District,Shanghai were collected through China AEFI Information Management System during 2012 ~ 2016,while that on vaccination through the Shanghai Immunization Program Information System,and subjected to statistical analysis by descriptive epidemiological methods. Results A total of 1 766 cases of AEFI of Hib were reported during 2012 ~2016,indicating an incidence rate of 318. 78/100 000 doses,of which 1 735 cases were general reactions(98. 24%),indicating an incidence rate of 313. 36/100 000 doses,while 30 cases of abnormal reaction were reported,indicating an incidence rate of 5. 42/100 000 doses. One case of coincidence was observed,indicating an incidence rate of 0. 18/100 000 doses. The incidence rates of AEFI of Hib,epidemic encephalitis-HI,DTaP-Hib,DTaP-IPV-Hib were 160. 69/100 000 doses,203. 28/100 000 doses,358. 24/100 000 doses and 590. 59/100 000 doses respectively,which showed significant difference(P < 0. 001). A total of 473 223 doses of various vaccines were inoculated for primary immunization(three doses),of which the incidence rate of AEFI was 224. 84/100 000 doses. However,a total of 80 457 doses were inoculated for booster immunization,of which the incidence rate of AEFI was 871. 27/100 000 doses,indicating a significant difference with that of primary immunization(P < 0. 001). The incidence rates of AEFI of Hib,DTap-Hib and DTaP-IPV-Hib in booster immunization were significantly higher than those in primary immunization(each P < 0. 001). The incidence rates of AEFI of various vaccines in various injection sites showed significant difference(each P < 0. 001). The AEFI of Hib and epidemic encephalitis-HI mainly appeared in upper arm,with incidence rates of118. 71/100 000 doses and 203. 28/100 000 doses respectively. The AEFI of DTaP-IPV-Hib mainly appeared in thigh,with an incidence rate of 545. 75/100 000 doses,while that of DTaP-Hib mainly appeared in buttocks,with an incidence rate of 259. 41/100 000 doses. Most of the AEFI of various vaccines appeared 6 ~ 24 and 24 ~ 48 h after immunization,with an incidence rate of 255. 92/100 000 doses. The incidence rates of AEFI at various time intervals after immunization showed significant difference(each P < 0. 001). Conclusion The incidence of AEFI of Hib containing vaccines was low,indicating a high safety. It is recommended that the vaccines should be vaccinated in upper arm or thigh,and the monitoring and disposal of AEFI should be strengthened 1 ~ 2 d after vaccination.
2019 01 v.32 [Abstract][OnlineView][Download 239K]