在低患病率环境中对婴儿的随访和结果:多中心儿童艾滋病毒暴露研究2
Penelope A Bryant1,2,3, Adam W Bartlett4,5, Asha Bowen6,7
1Infectious Diseases and Hospital-in-the-Home Departments, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Journal of the Pediatric Infectious Diseases Society
|December 15, 2025
概括
患有艾滋病毒的母亲出生的婴儿的周产期艾滋病毒传播率极低,为0.3%. 尽管干预率很高,但随访显示一些儿童的发育迟缓和并发症,这强调了持续参与的必要性.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 了解暴露于艾滋病毒的婴儿的结果至关重要,特别是在低患病率的环境中.
- 有效的干预措施显著减少了母婴艾滋病毒的传播.
研究的目的:
- 调查澳大利亚和新西兰暴露于艾滋病毒的婴儿的随访和结果.
- 评估围产期传播率,并确定发育和并发病模式.
主要方法:
- 一项多中心的回顾性研究分析了2009年至2025年期间,来自艾滋病毒感染母亲的668名活产婴儿的数据.
- 数据包括产前,产周和产后信息长达18个月,重点是艾滋病毒状况,发育和并发症.
主要成果:
- 艾滋病毒传播率非常低,为0.3% (2/668名婴儿).
- 对母亲 (99.4%) 和婴儿 (99.8%) 进行抗逆转录病毒治疗 (ART) 和配方养 (96%) 的高率被观察到.
- 在18个月后,6%的婴儿发育迟缓,11%的婴儿患有并发症,86%的婴儿确诊为HIV阴性.
结论:
- 这项研究证实,围产期艾滋病毒传播率非常低,可能是由于有效的干预措施.
- 尽管预防工作取得了成功,但显著比例的婴儿经历了发育迟缓和并发性疾病,这表明需要加强后续和参与.
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