摘要
目的 分析温州市梅毒母婴传播预防成效,为促进消除母婴传播提供支撑依据.方法 回顾性分析全国预防母婴传播信息管理系统中温州市预防梅毒母婴传播工作情况.结果2016-2022年累计检测孕产妇611 343人,梅毒检测率接近100.00％,阳性率为0.43％.2016-2022年共检出梅毒感染孕产妇2 629例,主要集中在25～35岁、初中、家务或待业、性传播途径,其中流动人口超过半数.梅毒感染孕产妇治疗率(x2=57.569)、规范治疗率(x2=265.574)和配偶或性伴检测率(x2=152.871)分别为96.69％、68.09％和45.45％,逐年均呈上升趋势,差异有统计学意义(P＜0.05).先天梅毒发生率为2.26/10万.结论 温州市消除梅毒母婴传播工作逐年完善,梅毒感染孕产妇以流动人口为主.配偶或性伴检测率还有所欠缺,急需探索建立梅毒感染孕产妇配偶或性伴的精准宣教和管理工作流程,逐步实现国际消除认证目标.
Abstract
Objective To analyze the effectiveness of preventing mother to child transmission of syphilis in Wenzhou city,and provide support for promoting the elimination of mother to child transmission.Method Using retrospective analysis method to analyze the situation of the national management information system for preventing mother-to-child transmission of syphilis in Wenzhou City.Results From 2016 to 2022,a total of 611 343 pregnant and postpartum women were tested,with a syphilis detection rate of nearly 100％and a positive rate of 0.43％.A total of 2 629 pregnant and postpartum women with syphilis infection were detected,mainly concentrated in the age range of 25-35,middle school,household chores or unemployed,and sexually transmitted routes,with over half of the floating population.The treatment rate(x2=57.569),standardized treatment rate(x2=265.574),and spouse/partner testing rate(j=152.871)of infected pregnant and postpartum women were 96.69％,68.09％,and 45.45％,respectively,showing an upward trend(P＜0.05).The incidence of congenital syphilis was 2.26/100 000.Conclusion The work of eliminating mother to child transmission of syphilis in Wenzhou has been improving year by year,with the majority of pregnant and postpartum women infected with syphilis being migrant populations.At the same time,there is still a shortage of spouse/sexual partner testing rates,and it is urgent to explore the establishment of precise education and management workflows for spouses/sexual partners of pregnant women infected with syphilis,and gradually achieve the goal of international elimination certification.
基金项目
浙江省温州市科学技术局基础性科研项目(Y20210387)
万方数据