是否接受常规提供孕产期人类免疫缺陷病毒抗体筛查孕产妇的感染水平探索  

Discussion of the Feasible Prevalence of Providing the Routine Human Immunodeficiency Virus Screening in Pregnant Women

作　　者：邱琇 王临虹[2] 方利文[2] 乔亚萍[2] 孙江平[3] 

机构地区：[1]广州市妇女儿童医疗中心,广州510623 [2]中国疾病预防控制中心妇幼保健中心妇女保健部,北京100050 [3]中国疾病预防控制中心性病艾滋病预防控制中心

出　　处：《中华妇幼临床医学杂志（电子版）》2011年第6期419-422,共4页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

基　　金：国家"十五"科技攻关课题(2004BA719A03);卫生部科学研究基金(WA2005-03)~~

摘　　要：目的对4个艾滋病(AIDS)高发县级市的预防AIDS母婴传播综合措施进行成本-效益评价,探讨适宜提供孕产期人类免疫缺陷病毒(HIV)抗体筛查的孕产妇感染水平。方法运用项目全成本核算的角度,通过现场调查收集2003至2006年实施预防AIDS母婴传播各项措施的费用和干预效果,计算实现项目费用与通过避免儿童感染HIV所挽回的经济损失相等时的孕产妇HIV感染水平。结果以项目全成本的角度分析,以地区经济水平衡量,孕产期HIV感染率为0.0596%时,项目成本效益相等;如按全国人均国内生产总值计算,则人群感染率在0.036%时开展筛查,项目成本-效益守恒。结论应适时扩大我国孕产期HIV抗体筛查服务。Objective To discuss the feasible prevalence of providing the routine human immunodeficiency virus（HIV） screening in pregnant women by evaluating the cost-benefits of integrated prevention of mother-to-child transmission（PMTCT） of HIV in four high-incidence counties. Methods Data of local resource investment and total cost for PMTCT in 4 counties in China from 2003-2006 were collected. Cost analysis and cost-benefits analysis were conduct. The feasible prevalence was obtained when the economic save and the cost of the programme was equal. Results The feasible HIV prevalence for HIV screening in pregnant women was 0. 0596% and 0. 036%depending on local and national GDP, respectively, base on total cost perspective. Conclusion It is time for China to scale up the HIV screening service in pregnant women.

关 键 词：获得性免疫缺陷综合征 疾病垂直传播 感染控制 成本-效益分析 

分 类 号：R446.6[医药卫生—诊断学]