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预防医学  2023, Vol. 35 Issue (1): 71-73,77    DOI: 10.19485/j.cnki.issn2096-5087.2023.01.017
  疾病监测 本期目录 | 过刊浏览 | 高级检索 |
2017—2021年杭州市HPV疫苗疑似预防接种异常反应监测结果
江伟, 刘艳, 杜渐, 许玉洋, 车鑫仁, 王婧, 王骏, 张学潮, 顾雯雯, 张小平
杭州市疾病预防控制中心免疫预防所,浙江 杭州 310021
Surveillance of adverse events following immunization with human papillomavirus vaccines in Hangzhou City from 2017 to 2021
JIANG Wei, LIU Yan, DU Jian, XU Yuyang, CHE Xinren, WANG Jing, WANG Jun, ZHANG Xuechao, GU Wenwen, ZHANG Xiaoping
Department of Immunization Program, Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China
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摘要 目的 分析2017—2021年杭州市人乳头瘤病毒(HPV)疫苗疑似预防接种异常反应(AEFI)发生情况,为HPV疫苗安全性监测与评价提供依据。方法 通过中国疾病预防控制信息系统AEFI监测模块收集2017—2021年杭州市报告的二价HPV疫苗(HPV2)、四价HPV疫苗(HP4)和九价HPV疫苗(HPV9)AEFI资料,通过浙江省疫苗和预防接种综合管理信息系统收集HPV疫苗接种资料,分析AEFI发生情况、发生时间分布和临床症状等。结果 2017—2021年杭州市累计接种HPV疫苗922 310剂,报告AEFI 232例,报告发生率为25.15/10万剂,其中HPV2、HPV4、HPV9 报告发生率分别为31.13/10万剂、25.93/10万剂和22.01/10万剂。以一般反应和异常反应为主,报告发生率分别为21.58/10万剂和2.60/10万剂。接种后0~1 d AEFI发生比例较高,165例占71.12%。主要临床症状为注射部位局部红肿、硬结和发热,报告发生率分别为10.30/10万剂、5.96/10万剂和6.18/10万剂。结论 2017—2021年杭州市HPV疫苗AEFI报告发生率较低,临床症状较轻,各类HPV疫苗安全性良好。
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江伟
刘艳
杜渐
许玉洋
车鑫仁
王婧
王骏
张学潮
顾雯雯
张小平
关键词 人乳头瘤病毒疫苗疑似预防接种异常反应监测疫苗安全性    
AbstractObjective To investigate the incidence of adverse events following immunization (AEFI) of human papillomavirus (HPV) vaccines in Hangzhou City from 2017 to 2021, so as to provide insights into safety monitoring and evaluation for HPV vaccines. Methods The AEFI caused by immunization of bivalent (HPV2), quadrivalent (HPV4) and nonavalent HPV vaccines (HPV9) reported in Hangzhou City from 2017 to 2021 were captured from the AEFI Surveillance Module of Chinese Disease Control and Prevention Information System, and HPV vaccination data were captured from the Zhejiang Municipal Immunization Information Management System. The incidence, temporal distributions and clinical symptoms of AEFI were analyzed. Results Totally 922 310 doses of HPV vaccines were immunized in Hangzhou City from 2017 to 2021, and 232 cases with AEFI were reported, with an overall incidence rate of 25.15/105 doses. The reported incidence rates of AEFI caused by HPV2, HPV4 and HPV9 vaccination were 31.13/105 doses, 25.93/105 doses and 22.01/105 doses, respectively. General reactions and abnormal reactions were predominant AEFI, and the reported incidence rates of general reactions and abnormal reactions were 21.58/105 doses and 2.60/105 dose, respectively. AEFI predominantly occurred 0 to 1 day post-immunization (165 cases, 71.12%), and the main clinical symptoms included local swelling of injection sites, hard tubercle and fever, with reported incidence rates of 10.30/105 doses, 5.96/105 doses and 6.18/105 doses, respectively. Conclusions Low incidence of AEFI was reported following HPV vaccination in Hangzhou City from 2017 to 2021, and all AEFI were mild. The safety of HPV2, HPV4 and HPV9 remains high.
Key wordshuman papillomavirus vaccine    adverse event following immunization    surveillance    vaccine safety
收稿日期: 2022-09-19      修回日期: 2022-11-02      出版日期: 2023-01-10
中图分类号:  R186  
基金资助:杭州市医药卫生科技项目(A20210314)
通信作者: 刘艳,E-mail:smileforever81@126.com   
作者简介: 江伟,硕士,医师,主要从事免疫规划和疫苗可预防传染病研究
引用本文:   
江伟, 刘艳, 杜渐, 许玉洋, 车鑫仁, 王婧, 王骏, 张学潮, 顾雯雯, 张小平. 2017—2021年杭州市HPV疫苗疑似预防接种异常反应监测结果[J]. 预防医学, 2023, 35(1): 71-73,77.
JIANG Wei, LIU Yan, DU Jian, XU Yuyang, CHE Xinren, WANG Jing, WANG Jun, ZHANG Xuechao, GU Wenwen, ZHANG Xiaoping. Surveillance of adverse events following immunization with human papillomavirus vaccines in Hangzhou City from 2017 to 2021. Preventive Medicine, 2023, 35(1): 71-73,77.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.01.017      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I1/71
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