阻断梅毒感染孕产妇的垂直传播防控技术研究

Process management to improve the effectiveness of preventing syphilis maternal-neonatal transmission

目的总结预防梅毒母婴垂直传播的服务工作的流程,探讨阻断梅毒感染孕产妇垂直传播的防控技术。方法选择2015年1月至2016年12月在广东省四会市人民医院就诊的3 095例孕产妇,按服务流程免费检测梅毒,对确诊梅毒感染的孕妇进行有效干预治疗和追踪监测。结果 3 095例孕产妇中确诊梅毒感染17例。孕妇梅毒筛查率100%,梅毒感染检出率0.55%(17/3 095),成功阻断率94.12%(16/17),梅毒干预治疗用药率82.4%(14/17)。结论积极实施预防梅毒母婴垂直传播的服务流程工作,显著提高阻断效果,其防控技术值得全面推广。

Objective To evaluate the effectiveness of a new stewardship,free screening test of syphilis,in preventing syphilis maternal-neonatal transmission.Methods 3 095 pregnant women who visited the Sihui People＇s Hospital of Guangdong Province were collected from January 2015 to December 2016.The syphilis was detected free of charge according to the service procedure,and the effective intervention treatment and follow-up monitoring of pregnant women who diagnosed syphilis infection.Results 17 cases out of 3 095 maternal cases were infected with syphilis.The percentage of screening test was 100% and the rate of infection of syphilis was 0.55%（17/3 095）.94.12%（16/17） events of vertical transmission were prevented and 82.3%（14/17） of infected cases were treated by medication.Conclusion Syphilis maternal-neonatal transmission events were effectively prevented by improvement of stewardship by providing free service of screening detection of syphilis.