江苏省南通市民营医疗机构提供预防艾滋病、梅毒和乙肝母婴传播服务现状调查  

Investigation on service delivery on prevention of mother-to-child transmission of HIV,syphilis and hepatitis B virus in private medical institutions in Nantong,Jiangsu

作　　者：吴佳聪 娄海琴[1] 葛晓云[1] 刘维韦 周香 WU Jia Cong;LOU Hai Qin;GE Xiao Yun;LIU Wei Wei;ZHOU Xiang(Affiliated Matem&Child Care Hospital of Nantong University,Nantong 226018,Jiangsu Province,China)

机构地区：[1]南通大学附属南通妇幼保健院,江苏南通226018

出　　处：《中国妇幼卫生杂志》2021年第6期18-23,共6页Chinese Journal of Women and Children Health

基　　金：中国性病艾滋病防治协会·艾伯维妇幼关爱及预防母婴传播基金(2020PMTCT-W12a);江苏省妇幼健康科研项目(F201828)。

摘　　要：目的了解江苏省南通市民营医疗机构提供预防艾滋病、梅毒和乙肝母婴传播的服务现状。方法以监测数据分析、问卷调查、访谈和实地调查等方式,结合定量和定性两种方法进行数据分析和总结,分析南通市9家民营医疗机构提供预防艾滋病、梅毒和乙肝母婴传播服务现状。结果9家民营医疗机构均设有预防母婴传播项目工作小组,设置专人负责机构内艾滋病、梅毒和乙肝母婴传播消除工作(简称消除工作)。2020年9家民营医疗机构孕产妇艾滋病、梅毒和乙肝(简称"三病")筛查检测率、乙肝暴露儿童免疫球蛋白接种率、暴露儿童出生后12 h内乙肝免疫球蛋白接种率、乙肝感染孕产妇所生儿童首剂疫苗接种率均为100%;7家机构孕早期"三病"检测率为85.8%;2家机构梅毒感染孕产妇接受青霉素治疗比例、梅毒暴露儿童出生时接受非梅毒螺旋体抗原血清学实验定量检测的比例均为100%。9家民营医疗机构基本具备合格的"三病"常规和快速检测能力,但其中8家无法提供感染孕产妇性伴检测和随访数据。结论南通市民营医疗机构"三病"消除工作的服务质量和能力值得肯定,但仍需加强感染孕产妇性伴检测的落实工作。Objective To investigate service delivery on prevention of mother-to-child transmission of HIV,syphilis and hepatitis B virus(HBV)in private medical institutions in Nantong,Jiangsu.Methods Quantitative and qualitative methods including monitoring data analysis,questionnaire survey,interview and field visit were used to summarize and analyze the data.Results The elimination from mother-to-child transmission(EMTCT)project working groups were set up in nine private hospitals,respectively and special personnel were in charge of the work of EMTCT.The screening rate of HIV,syphilis,HBV among pregnant women,immunoglobulin coverage rate within 12 hours after birth and 1st dose hepatitis B vaccine among HBV-exposed newborns in 9 hospitals were all 100%in 2020.The screening rate of HIV,syphilis,HBV during early pregnancy among pregnant women in 7 hospitals was 85.8%.Proportion of pregnant women with syphilis receiving penicillin treatment and children exposed to syphilis receiving nontreponemal serological test at birth in 2 hospitals were 100%.9 hospitals basically were qualified to provide routine and rapid test of HIV,syphilis,HBV.However,8 hospitals were unable to provide sexual partners’testing date and follow-up.Conclusion The quality and ability of EMTCT service in Nantong private hospitals are worthy of affirmation.It is necessary to strengthen the testing of infected pregnant women’s sexual partners.

关 键 词：艾滋病 梅毒 乙型病毒性肝炎 民营医疗机构 母婴传播 

分 类 号：R714.251[医药卫生—妇产科学]