医务人员预防梅毒母婴传播知识掌握情况分析

A survey on the awareness of knowledge on prevention of mother-to-child transmission of syphilis among medical personnels

目的了解医务人员对预防梅毒母婴传播相关知识的知晓状况。方法2011年8至9月对四川、新疆和云南的3个县（市）参与预防艾滋病、梅毒和乙肝母婴传播工作的医务人员进行问卷调查。结果医务人员对孕产期梅毒筛查知晓率最高（89．8％），对妊娠梅毒诊断治疗、先天梅毒诊断治疗知识知晓率较低（分别为21．4％和2．8％）。县级及以上医疗机构的医务人员，妇产科、儿科、妇保、防保科医务人员对先天梅毒诊断治疗知晓率分别高于乡镇级医务人员（P=0．044〈0．05）和其他科室医务人员（P=0．044〈0．05）。同妇产科／儿科医务人员相比，妇保／防保科和其他临床科室医务人员更希望接受孕产期梅毒筛查知识培训（OR=2．478，95％CI：1．144～5．366；OR=3．362，95％CI：1．426～7．929）。结论研究地区的医务人员对预防梅毒母婴传播相关知识掌握薄弱，建议加强预防梅毒母婴传播培训。

Objective To investigate the awareness of knowledge on prevention of mother-to-child transmission （PMTCT） of syphilis. Methods From August to September 2011, medical personnel from 3 counties in Sichuan, Xinjiang and Yunnan province were surveyed with questionnaire regarding PMTCT of syphilis related knowledge. Results The awareness rate of medical personnel on syphilis screening during pregnancy was highest（89.8% ）, and that on dignosis and treatment of pregnant syphilis and that on dignosis and treatment of congenital syphilis（CS） were lower（21.4% and 2.8% , respectively）. The awareness rate on dignosis and treatment of CS among medical personnel from county leveled and above medial institutes and those from the department of obstetrics and gynaecology, pediactrics department, maternal and children health care department was higher than that among medical personnel from township leveled institutes （ P = 0. 044 〈 0.05 ） and other departments staff （ P = 0. 044 〈 0. 05 ）. Compared with medical personnel from the departments of obstetrics/gynaecology and pediactrics, those from the departments of maternal and children health care and from other clinical departments were more likely to have training on syphilis screening among pregnant women （OR = 2. 478, 95% CI： 1. 144-5. 366 ;OR = 3. 362, 95 % CI： 1. 426-7. 929 ）. Conclusion The knowledge of PMTCT of syphilis among medical personnel is quite weak, and the training on PMTCT of syphilis needs to be strengthened.