河北省2016—2020年预防孕产妇梅毒母婴传播实施情况分析

Implementation Analysis of Prevention of Maternal Syphilis Mother-to-Child Transmission in Hebei Province from 2016 to 2020

目的分析河北省2016—2020年实施预防梅毒母婴传播工作取得的成效及存在的问题,为进一步完善实施措施提供依据。方法通过分析国家预防母婴传播(prevention of mother-to-child transmission,PMTCT)管理信息系统中2016—2020年河北省预防梅毒母婴传播工作孕产妇梅毒检测、干预治疗等数据,回顾性分析全省预防梅毒母婴传播工作服务措施落实情况。结果2016—2020年,河北省孕产妇梅毒检测率呈逐年上升趋势,由97.62%上升至99.98%,孕期检测率由78.40%上升至98.20%;梅毒感染孕产妇治疗率由40.54%上升至81.20%;梅毒感染孕产妇所生婴幼儿预防性治疗率由25.96%上升至54.78%。先天梅毒报告率在2/10万上下波动。结论河北省孕产妇梅毒检测率高,达到95%的项目目标要求,梅毒感染孕产妇用药率逐年上升,成效显著。但感染孕产妇用药率及其所生婴幼儿预防性治疗率仍旧较低,与消除梅毒母婴传播目标存在一定差距。梅毒感染孕产妇及其所生婴幼儿的规范治疗仍是河北省今后预防梅毒母婴传播工作的重点难点。

Objective To analyze the effectiveness and existing problems in implementation of prevention of maternal syphilis mother-to-child transmission in Hebei Province from 2016 to 2020,providing a basis for further improving implementation measures.Methods By analyzing the data of syphilis detection and intervention treatment of pregnant women in Hebei Province from 2016 to 2020 in the national prevention of mother-to-child transmission(PMTCT)management information system,we retrospectively analyzed the implementation of service measures for prevention of mother to child transmission of syphilis in Hebei Province.Results From 2016 to 2020,syphilis detection rate of pregnant women in Hebei Province increased year by year,from 97.62%to 99.98%,and detection rate during pregnancy increased from 78.40%to 98.20%;treatment rate of syphilis-infected pregnant women increased from 40.54%to 81.20%;preventive treatment rate of infants born to pregnant women with syphilis increased from 25.96%to 54.78%.The report rate of congenital syphilis fluctuated around 2/100000.Conclusion The detection rate of syphilis in pregnant women in Hebei Province is high,reaching 95%of the project target requirements.The drug use rate of pregnant women infected with syphilis is increasing year by year,and the effect is remarkable.However,the drug use rate of infected pregnant women and the preventive treatment rate of their infants are still low,and there is a certain gap with the goal of eliminating mother to child transmission of syphilis.Standardized treatment of syphilis-infected pregnant women and their infants is still the key and difficult point in the prevention of mother-to-child transmission of syphilis in Hebei Province in the future.