Chinese Medical Sciences Journal ›› 2022, Vol. 37 ›› Issue (1): 67-72.doi: 10.24920/003903
收稿日期:
2021-03-24
接受日期:
2021-10-22
出版日期:
2022-03-31
发布日期:
2022-02-28
通讯作者:
张瑞丽,王千秋
E-mail:reallyvictor@126.com;wangqianqiunj@126.com
Fangzhi Du1,Ruili Zhang2,*(),Qianqiu Wang1,*()
Received:
2021-03-24
Accepted:
2021-10-22
Published:
2022-03-31
Online:
2022-02-28
Contact:
Ruili Zhang,Qianqiu Wang
E-mail:reallyvictor@126.com;wangqianqiunj@126.com
摘要:
在许多发展中国家,梅毒的母婴传播(mother-to-child transmission,MTCT)仍然是新生儿死产和死亡的主要原因。2007年,世界卫生组织启动了全球消除梅毒MTCT的计划。鉴于先天性梅毒的高疾病负担,中国随后发布了国家梅毒EMTCT政策和方案,以减少梅毒的MTCT。中国的先天性梅毒报告发病率由2013年的69.9例/10万活产下降到2019年的12.0例/10万活产。当前在新型冠状病毒肺炎(COVID-19)全球大流行期间,消除梅毒MTCT领域的工作进展受到拖延,使消除和终止梅毒MTCT的计划面临巨大挑战。本文总结了近20年来中国在消除梅毒MTCT的策略和措施,指出在国家卫生政策的支持和政府的坚强领导下,中国消除梅毒MTCT取得了显著的成就。在COVID-19大流行期间,加强对区域性暴发的COVID-19疫情的应急响应,采用安全、快速、早期和高质量的临床护理,确保100%的孕妇获得产前梅毒检测服务,确保治疗用苄星青霉素的药物供给,加强对感染梅毒孕妇和新生儿的闭环管理,是决定梅毒MTCT效果的关键措施。中国的经验教训可能对其他正在计划消除梅毒MTCT的国家有借鉴价值。
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