【摘要】 为了解山西省基层计划免疫服务现状及乡村级计划免疫服务人员对安全注射的知识、态度和行为 ,对不同经济发展水平的基层计划免疫服务现状及影响因素进行了调查。结果显示 :乡村医生无防疫补贴的占 6 8 5 % ;只使用一次性注射器的和玻璃、一次性注射器混合使用的接种点占 96 1% ;一次性注射器使用后有 78 5 %做了毁形或焚烧、深埋 ,2 0 1%随意丢弃 ,1 4 %消毒后重复使用 ;使用玻璃注射器只换针头不换针管的占 34 6 % ,一针一管接种多人的占 1 0 % ;使用一次性注射器 ,认为可换针头不换针管的占 6 6 % ,可多次使用的占 1 0 % ;按标准要求 ,有39 0 %的消毒方式不规范。器材管理混乱 ,冷链运转不能保证 ,基层计划免疫人员业务知识贫乏等是影响计划免疫服务质量的主要因素。更多还原

【Abstract】 The purpose of this paper is to understand the EPI present situation and the knowledge,atlitude,practice (KAP) of safty injection in township and villiage vaccinators. We made a survey conducted on Sep. 18～28,2000 in grass-root units of different economic levels. The results showed,the village vaccinators with no subsidize was 68.5%. Using disposal syringes only and both glass and disposal syringes together were 96.1%. The used disposal syringes distoryed,fired or deeply buried were 78.5%. Randomly discarded and re-used after sterilization were 20.1% and 1.4% respectively. On the KAP of safty injection,using glass syringe without changing needle was 34.6%,multiple injections with one syringe,one needle was 1.0%. About the disposal syringe,they think not to change syringe but needle was 6.6%,or think can use many times was 1.0%. According to standard requirements,39.0% not accorded with the sterilization method. Disordered management of equipments,unassurance of cold-chain operating,lacking professional knowledge are all chiefly factors affecting the EPI quality.更多还原