广西艾滋病感染孕产妇所生婴儿艾滋病感染早期诊断检测情况分析

Analysis of early diagnosis and detection of AIDS infection among 7-12 months infant with mother infect AIDS in Guangxi

目的了解广西自2014年7月建立婴儿艾滋病早期诊断区域实验室后,婴儿艾滋病感染早期诊断工作开展情况。方法对2014年7-12月广西婴儿艾滋病感染早期诊断区域实验室收到的来自自治区内婴儿早期诊断样本数据进行统计分析。结果在收到婴儿早期诊断样本中,第1次送检样本267份,其中婴儿出生后≤42天采集的比例为31.09%(83/267)、婴儿出生后≥60天内采集的比例为83.52%(223/267)。第2次送检样本216份,其中婴儿出生后≤90天采集的比例为10.19%(22/216)、婴儿出生后≤120天采集的比例为87.96%(190/216)。两次样本的送检率为80.90%(216/267)。2次样本转运周期中位数分别为5天(范围0~25天)、6天(范围0~18天),两次检测结果均为阳性的样本为5份,两次检测结果阳性率为1.87%(5/267)。结论进一步加强妇幼保健机构对艾滋病感染产妇及其所生婴儿的随访及管理工作,提高样本的采集时点及转运时限。

Objective To understand the working situation of early diagnosis and detection about infant AIDS infection since Guangxi set up EID laboratory in July, 2014. Methods The data collected by Guangxi EID laboratory was analyzed in study, the data of infants was from July to December, 2014. Results During July to December, 2014, among all the samples Guangxi regional EID laboratory received, 267 was the first EID samples, 216 was the second EID samples. The proportions of the first samples collected within 42 days and 60 days after birth were 31.09% （83/267） and 83.52% （223/267）. The proportions of the second samples collected within 90 days and 120 days after birth were 10.19% （22/216） and 87.96% （190/216）. The rate of two samples detecting was 80.90% （216/267）. The median transportation times for the first samples and second samples were 5 days （range： 0-25 days） and 6 days （range： 0-18 days）. There were 5 infants with both first and second samples being positive. The positive rate was 1.87% （5/267）. Conclusions It should be further strengthened following-up and management of HIV-infected pregnant women and their infants, and improve samples collecting times and transportation times.