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目的为了解嘉兴市孕产妇艾滋病病毒(HIV)感染状况,探索适合当地的预防艾滋病母婴传播的运行模式和服务方式,最大程度地减少母婴传播。方法对孕产妇检测HIV抗体,初筛阳性标本进行确认试验;对感染HIV的孕产妇进行监测与管理。结果 2006-2012年,孕产妇HIV抗体阳性率为0.19‰(57/292 507),其中本地户籍为0.02‰(3/130 299),流动人口为0.33‰(54/162 208),差异有统计学意义(P<0.01)。分娩的22例活产婴儿中追踪到18个月的有12例,其中11例HIV抗体阴性,1例阳性。结论嘉兴市孕产妇HIV感染处于较低水平,流动人口是艾滋病防治的重点人群。妇幼保健机构和疾病预防控制中心要明确各自职责、加强合作,加强对感染HIV的孕产妇进行监测管理。
Objective To understand the status of HIV infection among pregnant women in Jiaxing and to explore suitable modes of operation and service for local prevention of mother-to-child transmission of HIV to minimize mother-to-child transmission. Methods The detection of HIV antibodies in pregnant women, screening positive specimens for confirmation test; the monitoring and management of HIV-infected pregnant women. Results Between 2006 and 2012, the positive rate of HIV antibody among pregnant women was 0.19 ‰ (57/292 507), of which the local household registration was 0.02 ‰ (3/130 299) and the floating population was 0.33 ‰ (54/162 208) with statistical difference Significance (P <0.01). Of the 22 live births that were delivered, 12 were followed up for 18 months, of which 11 were HIV negative and one was positive. Conclusion HIV infection in pregnant women in Jiaxing City is at a low level, and floating population is the key population for AIDS prevention and treatment. MCH and CDC should clearly define their respective responsibilities and strengthen cooperation so as to strengthen the monitoring and management of pregnant women infected with HIV.