2014-2018年曲靖市预防梅毒母婴传播效果分析

Effect of Prevention of Mother to Child Transmission of Syphilis in Qujing from 2014 to 2018

目的评价曲靖市预防梅毒母婴传播工作的效果,为今后更好地开展消除梅毒母婴传播工作提供依据。方法利用国家预防母婴传播信息系统的相关数据,收集2014-2018年曲靖市孕产妇梅毒检测、梅毒感染孕产妇和所生婴儿的诊断、治疗和随访情况数据,采用趋势χ^(2)检验进行统计分析。结果2014-2018年曲靖市孕产妇梅毒检测率为99.35%(435842/438713),梅毒阳性产妇为920例,阳性率为0.21%。梅毒阳性孕产妇规范治疗率从2014年的64.02%上升至2018年的90.34%。梅毒感染产妇共分娩930名婴儿,死产8例,儿童治疗率为79.93%(737/922),先天性梅毒5例,先天性梅毒发生率为1.1/10万。结论2014-2018年曲靖市预防梅毒母婴传播工作取得较大成效,但在梅毒感染孕产妇早期诊断率、儿童随访工作等仍需要提高。

Objective To evaluate the effect of the prevention of mother-to-child transmission of syphilis in Qujing during 2014-2018.Methods Data were collected from the national IPMTCT surveillance system including syphilis testing,diagnosis,and treatment among pregnant women as well as the follow-up services received by syphilis infected pregnant women and their babies from 2014 to 2018 in Qujing,Yunnan Province.The chi-square test was performed to compare differences in trends.Results In 2014-2018,the syphilis testing rate among pregnant women in Qujing was 99.34%(435842/438713).There were 920 syphilis-positive mothers being identified.The positivity rate was 0.21%.The standard treatment rate among syphilis-positive pregnant women increased from 64.02%in 2014 to 90.34%in 2018.A total of 930 infants were born to syphilis-positive mothers,and 8 were stillborn.The syphilis preventive treatment rates among delivered exposed children were 79.9%(737/922).Among these syphilis-exposed infants,five had congenital syphilis.The incidence of congenital syphilis was 1.1/100,000.Conclusion The prevention of mother-to-child transmission of syphilis in Qujing from 2014 to 2018 had a great achievement.It is crucial to improve the early diagnosis of syphilis infection in pregnant women and timely provision follow-up service to exposed infants.