预防梅毒母婴传播效果评价指标探讨

发布时间：2018-01-16 11:49

本文关键词：预防梅毒母婴传播效果评价指标探讨　出处：《中国艾滋病性病》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨预防梅毒母婴传播效果的评价指标。方法随机抽取贵州省26个县(市、区),对2012-2014年疾病预防控制"传染病报告信息系统"中的胎传梅毒个案,以及妇幼系统确诊的梅毒感染孕产妇所生儿童的干预结局,进行回顾性分析。结果 2012-2014年,26个抽样县疾病预防控制"传染病报告信息系统"胎传梅毒确诊病例中,88.63%没有实验室检测依据,难以确定先天梅毒的诊断。2012-2014年,抽样县妇幼信息系统共确诊先天梅毒18例,疾病预防控制信息系统漏报9例,漏报率达50%。妇幼系统先天梅毒发生率从2012年的2.77/10万活产上升至2014年3.25/10万活产,不良妊娠结局发生率和梅毒母婴传播率分别从2012年的7.84%、6.24%下降至2014年的6.10%、4.77%,但差异均无统计学意义(P0.05)。结论近3年实施的预防梅毒母婴传播效果显著。疾病预防控制"传染病报告信息系统"中先天梅毒报告发病率质量较差,不适合作为贵州省预防梅毒母婴传播的效果评价指标。建议采用梅毒母婴传播率作为效果评价指标。
[Abstract]:Objective to evaluate the effectiveness of prevention of mother-to-child transmission of syphilis. Methods 26 counties (cities and districts) in Guizhou Province were randomly selected. Cases of congenital syphilis in the "Infectious Diseases reporting Information system" for disease prevention and control in 2012-2014, as well as the outcome of interventions of children born to mothers and women infected with syphilis in the maternal and child systems. Results from 2012 to 2014, there were 26 confirmed cases of syphilis transmitted by the infantile syphilis in the disease prevention and control "infectious disease reporting information system" in 26 sample counties. 88.63% there is no laboratory test basis, it is difficult to determine the diagnosis of congenital syphilis. 2012-2014, a total of 18 cases of congenital syphilis were diagnosed by maternal and child information system in sampling counties. Nine cases were not reported by the disease prevention and control information system, and the rate of missing report was 50%. The incidence of congenital syphilis in maternal and child system increased from 2.77 / 100 thousand live births in 2012 to 325 / 100 thousand live births on 2014. The incidence of adverse pregnancy outcome and the rate of mother-to-child transmission of syphilis decreased from 7.84% in 2012 to 4.77% in 2014. But the difference was not statistically significant (P0.05). Conclusion the effect of prevention of mother-to-child transmission of syphilis in recent three years is remarkable. The quality of congenital syphilis report is poor in the infectious disease report information system for disease prevention and control. It is not suitable to be used as an evaluation index for the prevention of mother-to-child transmission of syphilis in Guizhou Province.
【作者单位】：贵州省疾病预防控制中心妇幼保健所;
【基金】：贵州省科技支撑计划项目(黔科合SY字【2011】3030号)~~
【分类号】：R759.1
【正文快照】： 梅毒是全球性公共卫生问题,妊娠梅毒严重危害母婴健康。世界卫生组织(WHO)估计,每年约有 200万孕妇感染梅毒,先天梅毒的发病人数约为每年70万?150万人,妊娠梅毒每年造成发展中国家胎儿和新生儿死亡约为65万人[1]。为此,WHO在2005年组织制定了“全球消除胎传梅毒行动指南”,在

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