5623例孕产妇梅毒、AIDS监测结果分析

目的:了解本地区梅毒、艾滋病(AIDS)在孕产妇中的流行现状,提出积极的应对策略。方法:对2008～2011年产前检查门诊和住院分娩的5623例孕产妇常规开展梅毒和HIV初筛,初筛阳性者分别做梅毒螺旋体明胶颗粒凝集试验(TPPA)确诊和HIV试验确诊。结果:梅毒阳性孕产妇31例,阳性率为0.55%;HIV阳性孕产妇6例,阳性0.11%。对梅毒和HIV阳性孕妇进行干预治疗,干预治疗后阳性孕妇新生儿梅毒阳性2例、HIV阳性1例,母婴传播率分别为14.3%和33.3%。结论:孕期进行梅毒和HIV常规筛查可及早发现梅毒和HIV感染,积极干预治疗,可有效阻断梅毒和HIV在母婴间的传播和蔓延。

Objective：To understand the local syphilis,AIDS（AIDS） in pregnancy epidemic situation,put forward to answer strategy actively.Methods： 2008~2011 antenatal clinic and hospital childbirth 5623 cases of maternal syphilis and routine in HIV screening,screening positive respectively Treponema pallidum gelatin particle agglutination test（TPPA） and HIV test confirmed confirmed.Results： 31 cases of syphilis positive pregnant women,the positive rate was 0.55%;HIV positive pregnant women 6,positive 0.11%.On syphilis and HIV positive pregnant women for therapeutic intervention,intervention treatment of neonatal syphilis positive pregnant women was positive in 2 cases,HIV was positive in 1 cases,mother-to-child transmission rate is respectively 14.3% and 33.3%.Conclusion： pregnancy syphilis and the routine HIV screening can be detected early syphilis and HIV infection,positive therapeutic intervention,can effectively block the syphilis and HIV between mother and infant transmission and spread.