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目的对四川省2013年11例HIV阳性儿童个案进行分析,发现该省艾滋病母婴阻断干预环节中存在的问题,探索对策,以提高干预措施质量,降低母婴传播率。方法采用回顾性研究的方法,对11例阳性儿童从其母亲基本情况、孕期保健和抗病毒治疗,儿童抗病毒治疗等资料进行全面分析。结果 11例HIV感染儿童母亲在孕期均未接受及时、规范的孕产期保健,9例在孕期未接受任何检查或孕期保健情况不详,临产前或产后才确诊HIV感染;仅2例在孕期接受抗病毒治疗。仅5例在分娩当日给予服药,1例服药时间持续满6周。11例个案中,5例为流动人口,8例个案母亲系少数民族聚居区A市户籍,A市母婴传播疫情严重。结论四川省2013年11例HIV阳性儿童母亲孕期保健缺乏或不规范,孕期未及时、规范应用抗病毒药物;出生后婴儿服药不及时、不规范。
Objective To analyze 11 cases of HIV-positive children in Sichuan Province in 2013 and find out the problems existing in HIV / AIDS prevention and treatment in this province and explore countermeasures to improve the quality of interventions and reduce the mother-to-child transmission rate. Methods A retrospective study was carried out to analyze 11 cases of positive children from the basic information of their mothers, the health and anti-virus therapy during pregnancy, and the antiviral treatment of children. Results 11 mothers of HIV-infected children did not receive timely and standardized maternal health care during pregnancy, 9 cases did not receive any examination during pregnancy or the health care during pregnancy was unknown, and HIV infection was confirmed before or after giving birth; only 2 cases received during pregnancy Antiviral treatment. Only 5 cases were given medication on the day of childbirth, and one case lasted for 6 weeks. Of the 11 cases, 5 were floating population and 8 cases were mothers of household A in the ghetto. The epidemic of mother-to-child transmission in city A was serious. Conclusions In 2013, 11 mothers of HIV-positive children in Sichuan province lacked normative health care during pregnancy, nor did they have timely medication during pregnancy. Antiviral drugs were standardized and prescribed.