2007年12月2日星期日
Your child prophylatic inoculation is the safe injection?
The prophylatic inoculation vaccine is the prevention and the controlinfectious disease most effective means, presently uses in the vaccinebesides few is takes orally for the medicine, the overwhelmingmajority vaccine all is through the intramuscular injection, thehypodermic injection or the intracutaneous injection way gives themedicine. The reader friend, your child prophylatic inoculation is thesafe injection, or not safely injects?In 1994 a World Health Organization once table investigation: Thedeveloping nation children, the immunity vaccination surpass 500million people every year, not safely injects above 30%. Our countryin 1996 also has published a material, in 3,066 vaccines vaccinationsinvestigation, can achieve "person of needle" the injection vaccineapproximately is 335%. In other words, nearly 2/3 child whenprophylatic inoculation exists not safely injects the question. Notsafely injects may directly cause the damage to the child, the teampossibly initiates outside the infection, but also may create bloodsource infectious disease the and so on 乙型肝炎 the, AIDS,malaria dissemination, has become a serious public health question.Therefore, our country medical department once under sent the noticein 1997, requested each place to realize the prophylatic inoculationsafe injection to 2000 in the national scope. But the realisticsituation is not certainly optimistic.The prophylatic inoculation not safely injects mainly displays in twoaspects: When 1 injector disinfects does not conform to the standard.Correct boils the disinfection time is 20 ~ 30 minutes, preserves thetime is 1 day; The correct uncle high pressure steam disinfection timeis 120 ℃, 15 ~ 25 minutes, preserve the time are in 1 week. 2injections operations does not conform to the requirement. The correctoperating procedure is: Person, a needle, as soon as use, adisinfection (or uses disposable injector). But, exists in the actualprophylatic inoculation work: (1) Direct repetition use identicalneedle and syringe; (2) Only trades the needle not to trade thesyringe or to see when the syringe has the blood, only then trades thesyringe; (3) Only uses the ethyl alcohol lint ball to scratch theneedle, gives another child to inject. (4) With the disinfection time,the temperature do not conform to the standard either the preservedexpired needle or the syringe injection.In 1999 the medical department disease controls with some provincehealth and epidemic prevention station jointly carries on a time ofinvestigation in the armor county and the second grade county,discovered two counties unsafe injections rate reach as high as 88.1%.In not safely injects the pure disinfection not correctly to accountfor 17%, the pure injection not correctly accounts for 40%, two allnot correctly accounts for 43%. The influence prophylatic inoculationnot safely injects the factor is various. Is insufficient except thevaccination equipment, specially in the countryside the currenteconomic condition influence outside, the main decisive reason is: (1)The hygienic guard personnel, specially countryside doctor, lacks theenough understanding to the safe injection knowledge and the skill, tonot safely injects causes the serious hazardous nature to thinkotherwise. (2) The health control section insufficiently takes to theprophylatic inoculation safe injection, to request not strictly, themanagement is incapable. (3) The populace protect oneselfconsciousness not to be strong, the guardian and the social inspectorgeneral are insufficient, media to this kind of undesirable tendencyvery few frontage propaganda.In order to complete prophylatic inoculation this key, the generalchild health work, should: (1) Strengthens to the basic unit healthguard personnel, specially the countryside doctor's raise and thetraining, enhances them and not safely injects the hazardous to thesafe injection importance understanding. (2) Formulation injectionequipment strict disinfection request and prophylatic inoculationoperation regulation. (3) Strengthens the sanitary supervision, todoes not carry out the safe injection personnel, gives the certainpunishment. (4) The display media propaganda function, enhances thepopulace specially is the guardian and the child protects oneselfconsciousness, the initiative rejection not safely injects
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