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新发呼吸道传染病流行期间预防接种实用手册
$36.60
预防接种是医疗机构公共卫生服务的重要组成部分,也是医疗机构中较少的几项服务于健康人群的业务之一。本书图文结合,介绍新发呼吸道传染病流行期间预防接种门诊开设模式、接种和补种原则、预约管理、接种前准备、疫苗接种、医疗废物处理、接种后管理、疑似预防接种异常反应监测与处理。附有疫情流行期间预防接种预约记录表等实用内容。本书内容科学,实用性强。适合医疗机构预防接种人员、疫苗营销管理人员、疾控中心专业技术人员、医院产科接种人员阅读。
刘艳,杭州市疾病预防控制中心免疫所,所长,副主任医师,编者长期从事免疫规划工作,有丰富的理论基础和现场经验,目前任中国现场流行病学培训项目导师、宁波大学硕士生导师、浙江大学公共卫生学院实习实践教育导师 、浙江省预防医学会第七届免疫规划专业委员会委员、杭州市预防医学会现场流行病学专业委员会副主任委员,曾受科技部委派赴日本大阪大学微生物研究所进修疫苗质量控制项目,曾以志愿者身份在世界卫生组织驻华办从事免疫规划相关工作半年。发表论文10余篇,主持参与省市级相关课题10余项目,并多次应邀在国内外会议上作学术报告。以第 一作者或通讯作者发表SCI论文4篇,国内期刊论文十余篇。 编写国家 指南《肠道病毒71型灭活疫苗使用技术指南》。
章 预防接种门诊开设模式 001 节 预防接种门诊开设要求 001 一、预防接种门诊的设置 001 二、人员配备 004 三、通风取暖设备的使用 007 四、预防接种量的控制 007 五、场所消毒管理 007 六、候诊留观管理 008 第二节 新冠肺炎流行期间各地预防接种门诊开设模式简介 008 一、分级逐步开设模式 008 二、全域优先接种重点人员模式 009 三、全域全疫苗开设开放模式 009 第三节 “健康码”介绍 010 第二章 接种和补种原则 012 节 疫苗推迟接种的影响 012 第二节 疫苗补种原则 013 第三节 免疫规划疫苗补种说明 013 一、卡介苗 014 二、乙型肝炎疫苗 014 三、含脊髓灰质炎成分疫苗 015 四、无细胞百白破疫苗 015 五、含麻疹成分疫苗 016 六、流行性乙型脑炎减毒活疫苗 016 七、含流行性脑脊髓膜炎成分多糖疫苗 017 八、甲型肝炎减毒活疫苗 017 第四节 非免疫规划疫苗补种说明 019 一、13价肺炎球菌多糖结合疫苗(PCV13) 019 二、口服五价重配轮状病毒减毒活疫苗 (Vero细胞) 020 三、口服轮状病毒活疫苗 020 四、b型流感嗜血杆菌结合疫苗(Hib疫苗) 020 五、肠道病毒71型灭活疫苗(EV71疫苗) 020 六、吸附无细胞百白破灭活脊髓灰质炎和b型流感嗜血杆菌(结合)疫苗(五联疫苗) 020 七、无细胞百白破b型流感嗜血杆菌联合疫苗(四联疫苗) 021 八、A群C群脑膜炎球菌(结合)b型流感嗜血杆菌疫苗(三联疫苗) 021 九、流行性乙型脑炎脑炎灭活疫苗 021 第三章 预约管理 022 节 预约方式 022 第二节 对象筛选 022 第三节 社会宣传 023 第四节 告知预约对象 023 第四章 接种前准备 025 节 预防接种门诊消毒 025 一、空气消毒 025 二、环境、物品表面消毒 026 第二节 个人防护 028 一、家长和儿童防护 028 二、医务人员防护 029 第三节 新生儿建档管理 031 第四节 疫苗管理 031 一、疫苗使用数量测算 031 二、疫苗码放要求 031 三、冷链测温 032 四、疫苗盘点 032 五、报废和销毁 032 第五节 接种器材准备 033 一、药品、器械及个人防护用品准备 033 二、用品数量 033 三、核查 033 四、主动预约者名单 034 第五章 疫苗接种 035 节 入门前核验 035 第二节 候诊流程 035 第三节 预检流程 036 第四节 登记流程 037 第五节 接种流程 038 第六节 留观流程 041 第六章 医疗废物处理 042 一、定点投放 042 二、定人管理 043 三、定时收集 043 四、定车转运 043 五、定岗培训 043 第七章 接种后管理 045 节 当次接种后管理 045 一、消毒管理 045 二、医疗废物处理 046 三、剩余疫苗管理 046 第二节 当日接种后管理 046 一、疫苗消耗与接种情况复核 046 二、疫苗使用登记 047 第三节 期间核查 047 第四节 疫苗冷链 048 第八章 疑似预防接种异常反应监测与处理 049 节 疑似预防接种异常反应监测 049 一、报告 049 二、调查诊断 050 第二节 常见反应的处理 050 一、全身性一般反应 050 二、局部一般反应 051 附录A 预防接种操作流程与风险控制 052 附录B 疫情期间预防接种预约记录表 053 附录C 儿童预防接种服务健康申报表(供参考) 054 附录D 疫情期间预防接种门诊消毒隔离制度 (供参考) 055 附录E 预防接种门诊消毒记录表(供参考) 057 附录F 预防接种门诊健康预检告知技术指引 (供参考) 058 附录G 医疗废弃物交接记录单 061 参考文献 062
疫苗作为预防和控制传染病经济有效的手段之一,得到社会高度重视。新发呼吸道传染病因传染性强,传播途径容易实现,所以难以防控。在疫情期间,受种者或其监护人既担心去医疗机构接种疫苗会增加传染病感染风险,又担心延迟接种会影响疫苗效果同时增加感染相应疫苗可预防疾病的风险。疫情出现后,如何做好防控工作的同时,保障预防接种门诊正常运行,预防接种一直是医疗机构公共卫生服务的重要组成部分,也是医疗机构中较少的几项服务于健康人群的业务之一。当重大疫情发生时,预防接种不但要使疫苗针对性传染病的免疫空白人群获得免疫保护,还要减少受种者交叉感染的风险,因此要求医疗机构在实施预防接种工作时非常专业、科学和审慎。 目前,国内尚没有预防接种门诊在发生重大疫情时如何做好消毒、院感控制、人群防护和健康教育方面的指导性书籍。新冠肺炎疫情发生后,我们组织一批免疫预防中青年专业人员在积极参与疫情防控的同时,不断研学、总结各地预防接种门诊在疫情防控过程中的做法、经验,编写了这本《新发呼吸道传染病流行期间预防接种实用手册》。 本书提出的措施和观点符合当前疫情防控形势和接种门诊工作实际情况,同样适用于其他呼吸道传染病流行时,力求为读者提供科学、规范、安全的疫情防控工作的预防接种参考意见。适合医疗机构预防接种人员、疫苗营销管理人员、疾控中心专业技术人员、医院产科接种人员阅读。 由于时间仓促、地域差异、专业能力和学术水平有限,难免有不足之处,敬请各位专家和读者朋友们批评指正。 编 者 2020年2月26日
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