頁籤選單縮合
題 名 | 臺北區2013~2014年HIV孕產婦與母子垂直感染分析與防治建議=Suspected Mother-to-Child Transmission of HIV, Taipei Regional Center, 2013~2014 |
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作 者 | 張致維; 鍾淑媛; 吳俊賢; 劉慧蓉; 施鐘卿; 李依玲; 顏哲傑; 吳俊賢; 劉慧蓉; 李依玲; 鍾淑媛; 張致維; 顏哲傑; 施鐘卿; | 書刊名 | 疫情報導 |
卷 期 | 32:15 2016.08.09[民105.08.09] |
頁 次 | 頁324-333 |
分類號 | 412.726 |
關鍵詞 | 母子垂直感染; HIV孕產婦異常事件; 孕產婦異常事件; HIV快篩; 疑似愛滋寶寶; |
語 文 | 中文(Chinese) |
中文摘要 | 臺灣自2005年起施行孕婦全面篩檢愛滋計畫後,母子垂直感染愛滋病之個案顯著降低,然而2014年臺北區縣市通報3起確定母子垂直感染事件,本研究統計2013–2014年疾病管制署臺北區管制中心所接獲通報之疑似愛滋寶寶及子女共32人,其中有9人係通報為「HIV孕產婦異常事件」(含母子垂直感染)。經調查分析該9案件之孕產婦,44%為懷孕前已通報HIV之失聯個案、56%懷孕期間無任何孕篩或產檢紀錄、78%懷孕期間無進行HIV藥物治療、89%未於愛滋病指定醫院生產、67%生產醫院於產前未對不明孕產婦進行HIV快速篩檢、78%產前無接受靜脈注射預防性用藥與無剖腹產,以及67%新生兒出生後無立即HIV快速篩檢與6–12小時內預防性投藥,這些均為引起母子垂直傳染HIV之高風險因素。為能有效預防子垂直感染,需由公衛端與醫療端,針對HIV孕產婦於懷孕前、懷孕過程及產程前後共同執行以下防疫措施:包括加強HIV女性失聯個案追蹤、提升個案伴侶服務與其12歲以下子女追蹤檢驗、醫療院所落實孕婦HIV篩檢及轉介至愛滋病指定醫院治療、增進醫療院所對高風險臨產婦及不明新生兒進行HIV快速篩檢之應變能力,及強化愛滋病指定醫院對緊急HIV臨產婦或疑似愛滋寶寶之醫療處置能力。 |
英文摘要 | After the implementation of comprehensive HIV screening program to pregnant women in Taiwan since 2005, mother-to-child transmission of HIV infections were significantly lower, but in 2014, three cases of mother-to-child transmission of HIV infection were reported to Taiwan Centers for Disease Control (TCDC). We characterized the 32 cases of suspected HIV baby or children reported to TCDC’s Taipei Regional Center during 2013–2014. Risk factors of mother-to-child transmission of HIV infection included loss of contact prior to known pregnancy, no HIV screening test during pregnancy, no HIV treatment during pregnancy, delivered at non-AIDS-appointed hospitals; hospitals not carrying out prenatal rapid HIV screening to pregnant women, not providing prenatal intravenous prophylaxis nor performing caesarean section, and no HIV-rapid screening immediately nor prophylaxis within 6–12 hours after birth. In order to effectively prevent mother-to-child transmission of HIV infection, we need both the public health and the medical institutions to strengthen tracking HIV women whom lost contact and improve contact tracing and HIV tracking on their children under the age of 12. Medical institutions should implement HIV screening of pregnant women and refer them to AIDS-appointed hospitals, enhance rapid HIV screening for high-risk pregnant women and their newborns, and strengthen treatment capacity for HIV maternal women and suspected HIV baby. |
本系統中英文摘要資訊取自各篇刊載內容。