测量和反对公共诊所疫苗接种覆盖率的影响,1988-1994年
C W LeBaron1, M Chaney, A L Baughman
1National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
JAMA
|February 26, 1997
概括
格鲁吉亚公共诊所的疫苗接种覆盖率从1988年到1994年大幅增加. 儿童免疫率的上升与一项测量和反计划有关.
科学领域:
- 公共卫生 公共卫生
- 免疫接种计划 免疫接种计划
- 医疗保健服务研究 医疗服务研究
背景情况:
- 1988年至1994年间,格鲁吉亚公共诊所的疫苗接种覆盖率有所增加.
- 需要确定增幅是人造的还是真实的,以及其与特定干预措施的关联.
研究的目的:
- 调查报道的疫苗接种率上升的现实情况.
- 评估测量和反计划与疫苗接种率增加之间的关联.
主要方法:
- 来自格鲁吉亚公共诊所 (136,004名儿童) 的疫苗接种记录的分析.
- 审查剂量管理记录和国家健康访谈调查 (NHIS) 数据.
- 检查疫苗接种覆盖率和疫苗接种不足指数.
主要成果:
- 乔治亚州公共诊所中,接种疫苗系列完成率的中位数从53%上升到89%.
- 疫苗接种不足指数显著下降,这表明免疫接种的及时性和连续性有所改善.
- 格鲁吉亚的覆盖率增加超过了NHIS数据中观察到的全国趋势,这表明该计划的有效性.
结论:
- 格鲁吉亚公共诊所实现了疫苗接种覆盖率的大幅增加.
- 在儿童免疫接种中观察到的改善与年度测量和反计划密切相关.
相关概念视频
Vaccinations
Overview
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Measurement of Bioavailability: Pharmacodynamic Methods
Pharmacodynamic methods provide insights into a drug's effects on physiological processes over time and play a crucial role in understanding bioavailability and therapeutic efficacy. These methods can be broadly classified into acute pharmacological and therapeutic response approaches, each with distinct mechanisms and applications.The acute pharmacological response method directly correlates a drug's physiological effects, such as ECG or pupil diameter changes, to its time course in the body.
Bias in Epidemiological Studies
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
Smallpox
Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.


