常规产前查艾滋病毒感染.
M Barbacci1, J T Repke, R E Chaisson
1Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Lancet (London, England)
|March 23, 1991
概括
在怀孕妇女中,针对性的人类免疫缺陷病毒 (HIV) 查错过了超过40%的病例. 对所有孕妇进行常规的艾滋病毒检测显著提高了检测率,提高了母亲和婴儿的健康结果.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 产科和妇科 产科和妇科
背景情况:
- 发达国家目前的指导方针主张基于已识别的风险因素,对孕妇进行人体免疫缺陷病毒 (HIV) 检测.
- 这种基于风险因素的方法可能无法有效地捕捉怀孕人口中艾滋病毒血清流行的全部范围.
研究的目的:
- 评估风险因素导向的艾滋病毒查与孕妇普遍查的有效性.
- 确定常规艾滋病毒检测对城市内区孕妇检测率的影响.
主要方法:
- 在美国巴尔的摩进行了一项前性研究,涉及2724名孕妇.
- 该研究比较了基于风险因素的查与普遍查下的艾滋病毒阳性妇女的预测检测率.
- 所有参与者都接受了咨询和艾滋病毒检测.
主要成果:
- 应用基于风险因素的查指南,只能发现57%的艾滋病病毒阳性孕妇.
- 提供普遍咨询和艾滋病毒检测使检测率提高到87%.
- 针对性查方法错过了在孕妇中显著比例的艾滋病毒感染.
结论:
- 仅基于已承认的风险因素对孕妇进行艾滋病毒查不足以有效检测病例.
- 建议所有孕妇进行常规艾滋病毒查,以改善感染者的鉴定.
- 在怀孕期间进行普遍的艾滋病毒检测对于及时干预和预防母婴传播至关重要.
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