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目的:探讨曲靖市满18月的艾滋病病毒感染妇女住院分娩的婴幼儿(HIV暴露儿童)保健服务情况,寻求影响服务质量的主要因素,进行有效的干预,以提高预防艾滋病母婴传播工作质量,降低母婴传播率。方法:选择2005年8月~2012年12月云南省曲靖市HIV暴露儿童38例,分析其满12月后的HIV抗体检测与提供预防性服用抗病毒药物、人工喂养指导、按频次的随访及HIV感染母亲的心理关怀的支持之间的关系。结果:2005~2012年HIV暴露儿童死亡、失访逐年减少,抗病毒药物服用、按频次随访、人工喂养及满12或18个月抗体检测等服务质量逐年上升。结论:多个保健服务均能影响满18个月HIV抗体检测结果,工作中仍需增加与HIV阳性母亲的沟通和关怀,以提高随访质量。
Objective: To investigate the health services of infants and young children (HIV-exposed children) hospitalized in Qujing who died of HIV infection in 18 months, seek the main factors that affect the quality of service and make effective interventions to improve the quality of mother-to-child transmission of AIDS prevention, Reduce mother-to-child transmission rates. Methods: Thirty-eight HIV-exposed children in Qujing from August 2005 to December 2012 were enrolled in this study. HIV antibody testing, preventive anti-viral drugs, artificial feeding guidance, frequency follow-up The relationship between HIV-infected mothers’ psychological care support. Results: From 2005 to 2012, the deaths of HIV-infected children and the loss of follow-up decreased year by year. The service quality of antiretroviral drugs, such as frequency follow-up, artificial feeding and antibody testing over 12 or 18 months increased year by year. Conclusion: Multiple health care services can affect HIV antibody test results over the past 18 months. However, there is still a need to increase communication and care with HIV-positive mothers in order to improve the quality of follow-up.