某市孕产妇HIV/AIDS流行情况及母婴传播防制

HIV/AIDS prevalence of PRG and prevention control of MTCT in Liuzhou City

目的了解柳州市孕产妇(PRG)艾滋病(HIV)感染状况和母婴阻断工作情况。方法收集2010年度柳州市PRG哨点监测及妇幼机构婚检、孕产妇检测等资料进行统计分析。结果柳州市2010年报告孕产妇51 242人,HIV检测率为89.12%,阳性率2.39‰(109人),18.35%(20/109)为产时才发现;2010年孕产妇HIV哨点监测1072人,阳性率4.66‰(5人);2010年婚检50 043人,HIV检测率88.64%,阳性率1.96‰(87人)。89.90%的阳性产妇服药阻断,80.81%阳性产妇所生婴儿实施人工喂养。结论柳州市孕产妇HIV流行形势十分严峻,局部地区非常严重,建议加强婚前HIV知识和安全性行为宣传,提高婚前HIV检测率和孕期HIV检测率,早发现、早治疗,有效控制孕产妇HIV感染及二代传播。

Objective To understand the prevalence situations of HIV infection among the pregnant and lying-in women in Liuzhou.Method Collecting and analyzing premarital check-up,PRG examination and other data from PRG sentinel surveillance as well as maternal and child agencies of Liuzhou City in 2010.Results The reported PRG were 51 242,of which,the detection rate of HIV was 89.12%,the positive rate was 2.39‰（totaling in 109 people）,and 18.35%（20/109） was found with HIV when parturition.In 2010,1 072 women were examined,5 of whom were identified with HIV and the HIV-positive rate was 4.66‰;50 043 had premarital check-up,of whom the HIV detection rate was 88.64%,87 women were identified with HIV,and the positive rate was 1.96‰.89.9% positive pregnant and lying-in women took medicine and 80.81% had artificial feeding for babies.Conclusions The prevalence of maternal HIV infection in Liuzhou was serious and some areas were very severe,thus we suggested to strengthen premarital publicity of HIV knowledge and safe sexual behaviour,increase premarital and pregnant HIV detection rate,discover and treat in the early stage,and effectively control HIV infection of PRG and mother-to-child transmition.