中国医疗机构工作人员流感疫苗预防接种指南
作者:
作者单位:

1.中南大学湘雅医院, 湖南 长沙 410008;2.国家老年疾病临床医学研究中心(湘雅医院), 湖南 长沙 410008;3.中国医学科学院北京协和医学院, 北京 100730;4.浙江大学医学院附属邵逸夫医院, 浙江 杭州 310016;5.辽宁省人民医院, 辽宁 沈阳 110016;6.安徽医科大学第一附属医院, 安徽 合肥 230022;7.深圳市第三人民医院, 广东 深圳 518112;8.中国疾病预防控制中心传染病预防控制所, 北京 102206;9.中国医学科学院北京协和医院, 北京 100730;10.中国疾病预防控制中心传染病管理处, 北京 102206;11.中国疾病预防控制中心病毒病预防控制所国家流感中心, 北京 102206;12.中日友好医院, 北京 100029;13.武汉市金银潭医院, 湖北 武汉 430013;14.浙江大学医学院附属第一医院, 浙江 杭州 310003;15.同济大学附属上海市肺科医院, 上海 200433;16.复旦大学附属儿科医院, 上海 201102;17.上海道田循证科技有限公司, 天津 300000;18.四川大学华西医院, 四川 成都 610041;19.北京大学第一医院, 北京 100034;20.中国人民解放军总医院, 北京 100039

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通讯作者:

吴安华  E-mail: 2812845125@qq.com
李六亿  E-mail: lucyliuyi@263.net
刘运喜  E-mail: 1425628298@qq.com

中图分类号:

R186

基金项目:


Guideline on influenza vaccination for staff in Chinese medical institutions
Author:
Affiliation:

1.Xiangya Hospital, Central South University, Changsha 410008, China;2.National Clinical Research Center for Geriatric Disorders[Xiangya Hospital], Changsha 410008, China;3.Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;4.Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China;5.The People's Hospital of Liaoning Province, Shenyang 110016, China;6.The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China;7.The Third People's Hospital of Shenzhen, Shenzhen 518112, China;8.National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China;9.Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;10.Division of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing 102206, China;11.National Influenza Centre, Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China;12.China-Japan Friendship Hospital, Beijing 100029, China;13.Wuhan Jinyintan Hospital, Wuhan 430013, China;14.The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China;15.Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China;16.Children's Hospital of Fudan University, Shanghai 201102, China;17.Shanghai Daotian Evidence-based Technology Co., Ltd, Tianjin 300000, China;18.West China Hospital, Sichuan University, Chengdu 610041, China;19.Peking University First Hospital, Beijing 100034, China;20.Chinese PLA Gene-ral Hospital, Beijing 100039, China

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    摘要:

    为了加强中国医疗机构工作人员流感疫苗的接种, 中华预防医学会医院感染控制分会联合中国临床实践指南联盟制定了《中国医疗机构工作人员流感疫苗预防接种指南》。本指南结合国内外研究进展和专家意见, 主要关注了7个临床相关问题, 并根据牛津循证医学中心2011版证据质量评估表对研究进行证据评级, 最终形成推荐意见。指南强调了医疗机构工作人员接种流感疫苗的重要性, 降低自身流感患病率可有效减少医院传播风险。本指南建议: 如无禁忌证, 医疗机构工作人员均应积极接种流感疫苗。推荐对感染传播风险极高的工作人员、高危人群和孕妇优先接种流感疫苗。另外, 指南还提供了疫苗的选择、接种时间及接种频次的建议。鉴于目前我国医疗机构工作人员流感疫苗接种率偏低且地区差异明显, 本指南建议进一步加强关于流感疫苗接种的健康教育, 根据各个省市区具体情况, 采取"多元化"方法, 积极开展有组织的接种活动。

    Abstract:

    To enhance the administration of influenza vaccine among staff in Chinese medical institutions, the Healthcare-associated Infection Control Branch of Chinese Preventive Medicine Association, in collaboration with the China Clinical Practice Guideline Alliance, has formulated the "Guideline on Influenza Vaccination for Staff in Chinese Medical Institutions". This guideline mainly focuses on 7 clinical related issues based on research progress and expert opinions both domestically and internationally. The Oxford Centre for Evidence-Based Medicine 2011 version of the evidence grading tool was utilized to evaluate study quality and develop recommendations. The guideline emphasize the importance of influenza vaccination for staff in medical institutions, which can reduce their own incidence of influenza and effectively reduce the risk of nosocomial transmission. This guideline recommends that all staff in medical institutions should actively receive influenza vaccination, unless contraindications exist. It is recommended to prioritize influenza vaccination for staff with an extremely high risk of infection transmission, high-risk population, and pregnant women. In addition, the guidelines also provide advice on choice of vaccine, as well as timing and frequency of vaccination. In view of the low vaccination rate of influenza vaccine among staff in medical institutions and significant regional differences in China, this guideline proposes the need for enhancing health education on influenza vaccination, adopting a "diversified" approach according to the specific circumstances of each province and city, and actively carrying out organized vaccination activities.

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黄勋,冯录召,杜小幸,等.中国医疗机构工作人员流感疫苗预防接种指南[J]. 中国感染控制杂志,2023,(8):871-885. DOI:10.12138/j. issn.1671-9638.20233814.
Xun HUANG, Lu-zhao FENG, Xiao-xing DU, et al. Guideline on influenza vaccination for staff in Chinese medical institutions[J]. Chin J Infect Control, 2023,(8):871-885. DOI:10.12138/j. issn.1671-9638.20233814.

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  • 收稿日期:2023-07-20
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  • 在线发布日期: 2024-04-28
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