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目的对艾滋病母婴传播阻断项目在来宾市的实施效果进行评价,为全市预防艾滋病母婴传播提供科学依据。方法 2010―2015年在全市实施艾滋病母婴传播阻断技术,对凡参加孕检的孕产妇免费进行艾滋病咨询检测,对检出阳性者进行艾滋病母婴传播阻断项目系统管理(采取对HIV阳性母亲及其所生婴儿按疗程足量服用抗逆转录病毒药物、实施安全助产、对婴儿人工喂养、定期跟踪和随访等综合措施)。结果 2010―2015年全市共有孕妇209 600人,参加艾滋病咨询检测的有207 861人,孕妇艾滋病咨询检测率为99.17%,检出HIV抗体阳性孕妇325例,阳性率为0.16%。选择生育的HIV抗体阳性孕妇总体服药率为95.38%(227/238),HIV阳性母亲所生活产婴儿总体服药率为95.26%(221/232)。婴儿艾滋病早期诊断阳性率为0.45%(1/221),对198名出生满18个月的婴儿进行艾滋病抗体检测,均未检出阳性者。结论对HIV阳性孕妇及其所生婴儿采取艾滋病母婴传播阻断综合性干预措施是预防艾滋病母婴传播的有效方法。
Objective To evaluate the implementation effect of the HIV / AIDS mother-to-child transmission block project in Laibin city and provide a scientific basis for the prevention of mother-to-child transmission of AIDS in the city. Methods From 2010 to 2015, HIV / AIDS mother-to-child transmission blockade technology was implemented in the city. Free HIV / AIDS counseling and testing were conducted for pregnant women who participated in the pregnancy test. Systemic HIV / Adequate doses of antiretroviral medication, safe midwifery, artificial feeding to infants, regular follow-up and follow-up of mothers and their infants born on a course of treatment. Results There were 209 600 pregnant women and 207 861 AIDS counselors in 2010-2015. HIV / AIDS counseling and testing rate among pregnant women was 99.17%. 325 HIV-positive pregnant women were detected, the positive rate was 0.16%. The overall medication rate of HIV-positive pregnant women who chose to give birth was 95.38% (227/238). The overall rate of taking HIV-positive mothers was 95.26% (221/232). The positive rate of early diagnosis of AIDS among infants was 0.45% (1/221). HIV positive was detected in 198 infants born 18 months old. No positive result was found. Conclusions The adoption of comprehensive HIV / AIDS mother-to-child transmission prevention interventions for HIV-positive pregnant women and their infants is an effective way to prevent mother-to-child transmission of HIV.