2012—2019年苏州市HIV阳性孕产妇流行性学特征及母婴阻断效果评估  

Investigation of epidemic characteristics and prevention of mother to child HIV transmission program from 2012 to 2019 in Suzhou,China

作　　者：龚甜 王惠英 何秀玉 GONG Tian;WANG Huiying;HE Xiuyu(Suzhou Municipal Hospital,Suzhou Maternal and Child Healthcare Center,Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215000,China)

机构地区：[1]苏州市立医院,苏州市妇幼保健计划生育服务中心,南京医科大学附属苏州医院,苏州215000

出　　处：《公共卫生与预防医学》2020年第6期88-90,共3页Journal of Public Health and Preventive Medicine

基　　金：2017年江苏省人口发展研究课题。

摘　　要：目的了解2012—2019年苏州市艾滋病病毒阳性孕产妇的基本情况,评估苏州市HIV母婴传播项目实施效果。方法回顾性分析2012—2019年苏州市HIV阳性孕产妇基本信息、用药情况、分娩情况及HIV阳性孕产妇所生新生儿用药诊断信息。结果2012—2019年,苏州共上报11名婚检未怀孕妇女和115名HIV阳性孕产妇。HIV阳性孕产妇平均年龄28.54±8.08岁,普遍呈低学历趋势,48.90%孕产妇为初中学历。115名孕产妇中75名分娩,其中67名产妇使用了抗病毒药物,HIV阳性孕产妇所生76名新生儿均使用了抗病毒药物,其中1名新生儿由于其母亲孕期未用药导致HIV感染。结论苏州市HIV疫情总体处于低流行态势,综合干预措施效果显著。Objective The vertical transmission of HIV,from mother to child remains one of the most important challenges all over the world.This study evaluated the implementation and effectiveness of prevention of mother to child HIV transmission program(PMTCT)from 2012 to 2019 in Suzhou.Methods The data used in this study were obtained from the PMTCT program carried out in hospitals and maternal and child health care centers of Suzhou from 2012 to 2019.The basic information of the HIV positive mothers including marital status,gravidity and parity history,educational background,date of HIV diagnosis,transmission route of HIV,information about the sexual partner,last menstrual period,current pregnancy outcome,and neonatal information were collected.The characteristics of the HIV positive mothers from 2012 to 2019 were analyzed.The statistical difference between the groups was evaluated by the χ^2-test or Fisher’s exact test as appropriate.P<0.05 was considered statistically significant.Results A total of 116 HIV positive women were diagnosed through prenatal examination.Among the 116 pregnant women,75 gave birth to 76 live neonates.Only one infant was diagnosed HIV infected because of the HIV positive mother didn’t take the anti-virus drugs until delivery.Conclusion The HIV prevalence of Suzhou city showed a low-level tendency.It’s important to perform early diagnosis and early prevention for HIV positive pregnant women.There are improvements to make in the program implementation in Suzhou city.

关 键 词：艾滋病 孕产妇 母婴阻断 

分 类 号：R181[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]