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目的了解漳州市HIV抗体阳性孕产妇疫情及母婴传播阻断情况。方法以国家妇幼卫生信息管理系统中的艾滋病检测月报及个案随访卡为依据,对漳州市2009—2015年预防艾滋病母婴传播工作进行分析。结果漳州市2009—2015年婚前保健211 287人,HIV抗体检测率39.3%,阳性6例,阳性率0.7/万;孕期保健552 135人,HIV抗体检测率52.8%,阳性21例,阳性率0.7/万,干预17例(81.0%);住院分娩419 348人,HIV抗体检测率88.6%,阳性14例(均为产前检测),阳性率0.4/万,干预3例(21.4%);HIV抗体阳性母亲产活产儿32人,干预24例(75.0%),满18个月检测婴儿HIV抗体,均未发现阳性。结论漳州市HIV检测率有待提高,应积极做好新生儿早期干预,全面落实预防艾滋病母婴传播综合干预措施,实现最大限度地减少因母婴传播造成的儿童感染。
Objective To understand the epidemic situation of HIV-positive pregnant women and the interception of mother-to-infant transmission in Zhangzhou. Methods Based on the monthly report on HIV / AIDS and the case-by-case follow-up card in the national MCH information management system, the paper analyzed the prevention of mother-to-child transmission of HIV in Zhangzhou from 2009 to 2015. Results There were 211 287 premarital health care workers in Zhangzhou from 2009 to 2015. The detection rate of HIV antibody was 39.3%, and the positive rate was 6%. The positive rate was 0.7 / 10 000. The pregnancy health care was 552 135. The HIV antibody detection rate was 52.8% (81.0%); hospital delivery 419 348, HIV antibody detection rate 88.6%, positive in 14 cases (all prenatal tests), the positive rate 0.4 / million, intervention in 3 cases (21.4%); HIV Antibody-positive mothers produced 32 live-born babies and 24 cases (75.0%) intervened. HIV-positive babies were tested for 18 months and none of them were positive. Conclusion The detection rate of HIV in Zhangzhou City needs to be improved. Early neonatal intervention should be actively carried out. Comprehensive interventions should be made to prevent mother-to-child transmission of HIV and to minimize the infection of children due to mother-to-child transmission.