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52 cases of acute flaccid paralysis cases in the pathogenesis and prognosis


Test] [1], especially in spring hair, Ya. Pizhou l4 years of comprehensive measures to eradicate polio Effect [J]. DOCTOR, 2OO4, 18 (2): 130. Journal of Preventive Medicine June 2008 No. 2 section l9 JiangsuJPreyMed, Jun, 2008, Vo1.19, No. 2 [2] Ya,[link widoczny dla zalogowanych], Song Asia. 44 cases of acute flaccid paralysis cases in the pathogenesis and prognosis [J]. Chinese Journal of Immunology, 1999,5 (4): 202. E3] Li Li, Wen Ning, LI Jie, et al. China 2005 Acute Flaccid Paralysis Surveillance System Analysis [J]. Chinese Journal of Immunology, 2006.12 (6): 434. [4] Yan Xuling, cold Hongying. Hu Ying. Jiangsu Province, Etiology of acute flaccid paralysis surveillance reports | J]. Journal of Preventive Medicine, 2005,】 6 (4): 202l. 1 case of BCG wrong kinds of incidents show the lessons Chen, Wu Ruihai (coastal counties WuXun Community Health Center, Jiangsu Binhai 224,532) Document code】 C CLC 1R186.2 Article ID】 Key words BCG; inoculation accident; standardized inoculum clinic in May 2005, the district immunization clinic in a school-age children for immunization process, the mistake as a hepatitis B vaccine BCG. Mistakenly vaccinated as a baby girl born 30d, inoculation dose of 0.5ml. Then report immediately in accordance with the relevant provisions of the errors in the accident immunization plan launched on the wrong kinds of children in a series of treatment, and continuous tracking observation. Is normal growth and development of the child, parents of children are satisfied with the handling of the accident, the report is as follows. 1 Accident (1) errors immediately to the county Center for Disease Control and Prevention reports,[link widoczny dla zalogowanych], and referrals to specific treatment options, the reality of the event and the possible reaction of the parents made it clear to the child accurately,[link widoczny dla zalogowanych], mistakes and work on children's review injury, and assume full responsibility for the accident is responsible for handling the whole process of the accident until after the end of medical treatment, according to the actual circumstances of the accident bear the appropriate economic compensation,[link widoczny dla zalogowanych], sought the consent of parents of children with and understanding of therapeutic treatments for the future work to establish a good basis for physician-patient relationship. (2) the establishment of error incident management team, clearly a public health physician is responsible for processing and tracking the whole process of observation. Specific approach is: the immediate vaccination of children in the partially closed position, with the syringe 1ml isoniazid (50mg) ~ H people 2ml0.5 lidocaine solution (0.5ml lidocaine 1_5ml extract water for injection) full swing uniform, the ring closed, day 1, after the 3d row, into 1 / 3d, 5 consecutive times, each time carefully for children before the closure of a medical examination, and pay close attention to the case of closed positions, the other suspended within 2 months vaccination, to July 2, CDC expert consultation by the county after the start of immunization according to normal procedures, observation date, the local situation Received: 2OO8 an O3 ~ 13 Author: Chen Exhibition (1963 a). Male, Jiangsu coastal people, the competent physician. * TB FA-column good governance, children's normal growth and development. 2 Experience and lessons learned (1) The handling of the incident, first by the county CDC technical support, followed by children's parents have been understanding and full cooperation. The 8 closed treatment for children and parents, whether physical or spiritual harm to have some, if not with the parents of the child, the treatment will not be closed, the accident results difficult to predict. Inoculation incident handling plan in accordance with, and truthfully explain the situation to parents, take the initiative to assume responsibility for the accident, and is responsible for incident handling to obtain the understanding of parents, so that treatment can proceed smoothly. I believe that mutual understanding and collaboration between doctors and patients is the successful key to deal with this incident. (2) of this accident and the vaccination clinic process unreasonable, the operator did not strictly enforce the immunization norms, not seriously checking system performance, sense of duty has a direct relationship, while not yet reached the required out-patient clinic vaccination standards, responsible for the vaccination too few medical personnel, vaccination of heavy workload, the staff is overloaded with work under tension,[link widoczny dla zalogowanych], the potential hidden dangers of accidents. Seriously draw lessons from this incident and deal with those responsible, but also prompted us to increase the vaccination clinic on reform efforts. 3 corrective measures (1) According to the area of population and workload, according to the provisions of filled and vaccination clinic staff, and a clear division of labor, according to a person, a, a seedling inoculation with the requirements of personnel, training of vaccinators by the County CDC and examinations to obtain certificates after BCG vaccination certificates, according to the law enforcement, I.
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