在赞比亚2021-2022年在产前护理中实施SARS-CoV-2常规监测:最佳实践和经验教训
Tannia Tembo1, Elizabeth Heilmann2,3, Bupe Mulenga Kabamba4
1Centre for Infectious Disease Research in Zambia (CIDRZ), P.O Box 34681, Lusaka, Zambia. Taniya.Tembo@cidrz.org.
BMC public health
|February 28, 2025
概括
在赞比亚,将SARS-CoV-2的监测整合到产前护理中,揭示了孕妇中高血清流行率 (64%). 这种方法是可行的,利用现有系统进行可持续的公共卫生监测.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 由于以症状为重点的监测,对赞比亚的SARS-CoV-2传播范围的了解有限.
- 产前哨戒监测是跟踪感染趋势的未充分利用的方法.
- 该ANC COVID-19监测研究旨在评估SARS-CoV-2血清流行率和孕妇的疫苗接种.
研究的目的:
- 为了确定赞比亚孕妇的SARS-CoV-2血清流行率.
- 为了评估这一人口群体中COVID-19疫苗的接种率.
- 记录实施经验,挑战和教训,用于未来的监督.
主要方法:
- 从2021年9月到2022年9月,在39个卫生机构进行了重复的横截面血清流行调查.
- 15-49岁的孕妇在产前护理访问中进行注册.
- 通过电子问卷收集人口统计数据,并使用多重珠子试验从干血样本中收集IgG抗体.
主要成果:
- 在9111名被评估的孕妇中,大约64%的孕妇对SARS-CoV-2抗体呈阳性.
- 在2021年9月至2022年7月期间,血清患病率从27.8%显著增加到56.6%.
- 接种COVID-19疫苗的覆盖率从0.5%上升到27%,老年妇女,没有受过教育的妇女和先前感染的妇女的接种率更高.
结论:
- 通过利用现有的卫生基础设施,将SARS-CoV-2监测纳入常规产前护理是可行的和可持续的.
- 仔细规划对于克服实施挑战和确保高质量的数据收集至关重要.
- 这一战略为关键人口群体中的传染病趋势提供了有价值的见解.
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