某传染病医院2020-2023年带状疱疹疫苗接种情况分析

Current status of herpes zoster vaccination in an infectious diseases hospital from 2020 to 2023

  • 摘要:
    目的 统计近四年带状疱疹疫苗接种数据, 总结带状疱疹疫苗接种现状。
    方法 选取2020-2023年各年度解放军总医院第五医学中心带状疱疹疫苗接种人群, 对不同年龄、不同性别接种情况进行描述性统计分析,分析影响疫苗接种因素,问卷调查统计接种后不良反应。
    结果 2020-2023年接种带状疱疹疫苗共计495人次, 其中, 女性290人次, 男性205人次, 疫苗总体接种数量呈递增趋势。50~60岁、>60~70岁、>70岁年龄段接种比例分别为:47.68%, 39.19%, 13.13%。既往感染带状疱疹病毒人数为353名占比71.31%。接种带状疱疹疫苗后主要不良反应包括接种部位轻微红肿、瘙痒, 身体乏力, 头痛伴低热等。随访376名接种者, 其中仅4名接种者报告再次感染带状疱疹病毒。
    结论 带状疱疹疫苗接种主要集中在50~60岁年龄段人群, 且>60岁以上群体中, 接种率近年来逐年下降, 疫苗接种意愿率较低。建议相关防疫机构应积极宣传带状疱疹疫苗知识与健康宣教, 尤其是带状疱疹病毒具有易感性和带状疱疹疫苗的安全性, 提高公众接种带状疱疹疫苗的意愿。

     

    Abstract:
    OBJECTIVE To statistically analyze the data of herpes zoster vaccination in the past four years and summarize the current status of herpes zoster vaccination.
    METHODS The data of herpes zoster vaccination were collected from the Fifth Medical Center of PLA General Hospital between 2020 and 2023. The descriptive statistical analysis was performed for the status vaccination regarding to the age group and gender. The influencing factors for the vaccination were analyzed, and the questionnaire survey was conducted for adverse reactions after the vaccination.
    RESULTS A total of 495 people received herpes zoster vaccination in the hospital from 2020 to 2023, including 290 female and 205 male, and the overall number of vaccination showed an upward trend. Among the populations who received the vaccination, the proportion of the population aged between 50 and 60 years old was 47.68%, the population aged between 60 and 70 years old 39.19%, the population aged more than 70 years old 13.13%. Totally 353 cases had the previous history of herpes zoster virus infection, accounting for 71.31%. The major adverse reactions for the herpes zoster vaccination included slight swelling, pruritus, fatigue and headache with low-grade fever. The follow-up result showed that 4 of 376 vaccination people reported to be reinfected with herpes zoster virus.
    CONCLUSIONS The people aged between 50 and 60 years old are the major population for herpes zoster vaccination, the vaccination rate declines year by year among the population aged more than 60 years old, and the rate of willing to vaccination is low. It is necessary for the epidemic prevention institutions to actively disseminate the knowledge of herpes zoster vaccine and carry out health education, especially the vulnerability to the virus and safety of the vaccine, so as to raise the public′s willingness to the vaccination.

     

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