2013年四川省11例HIV阳性儿童个案分析

Analysis of 11 Cases of HIV Positive Children in Sichuan Province in 2013

目的对四川省2013年11例HIV阳性儿童个案进行分析,发现该省艾滋病母婴阻断干预环节中存在的问题,探索对策,以提高干预措施质量,降低母婴传播率。方法采用回顾性研究的方法,对11例阳性儿童从其母亲基本情况、孕期保健和抗病毒治疗,儿童抗病毒治疗等资料进行全面分析。结果 11例HIV感染儿童母亲在孕期均未接受及时、规范的孕产期保健,9例在孕期未接受任何检查或孕期保健情况不详,临产前或产后才确诊HIV感染;仅2例在孕期接受抗病毒治疗。仅5例在分娩当日给予服药,1例服药时间持续满6周。11例个案中,5例为流动人口,8例个案母亲系少数民族聚居区A市户籍,A市母婴传播疫情严重。结论四川省2013年11例HIV阳性儿童母亲孕期保健缺乏或不规范,孕期未及时、规范应用抗病毒药物;出生后婴儿服药不及时、不规范。

Objective To analyze the 11 cases of HIV positive children in Sichuan province in 2013,identify the problems in AIDS prevention of mother to child transmission（ PMTCT） intervention,and explore the countermeasures to reduce the mother to child transmission rate. Methods With retrospective method,11 cases of HIV positive children were analyzed with regards to mother＇s basic situation,prenatal care and antiretroviral therapy,children＇s antiviral treatment, etc. Results The mothers were unexceptionally received no timely and standard perinatal care; 9 mothers accepted no examination during pregnancy or the examination history was unclear,and they were diagnosed with HIV until near labor or postpartum. Only 2 mothers were received antiviral therapy during pregnancy. Five cases were given medication on the birth,only one case＇s medicine time sustained 6 weeks. Five cases were floating population,and 8 mothers were form minority residence area in A City,while mother to child transmission was serious in A city. Conclusion The antenatal care of the mother of11 HIV positive cases are absent and lack of standardization. When in pregnancy,the application of antivirus medicine is not timely and standard,so is the case with the children after born.