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2015-2019年山东省青岛市梅毒感染孕产妇治疗情况及影响因素分析

Treatment and influence factors of syphilis infected maternities in Qingdao,Shandong,2015-2019

  • 摘要: 目的 分析山东省青岛市梅毒感染孕产妇的治疗情况及影响治疗的相关因素。方法 利用全国“预防艾滋病、梅毒和乙肝母婴传播管理信息系统”选取2015-2019年青岛市分娩的梅毒感染孕产妇个案信息,分析其治疗情况及治疗的影响因素。结果 本研究共纳入1 387例梅毒感染孕产妇相关信息并进行分析,治疗率为69.0%。2015-2019年青岛市梅毒感染孕产妇的治疗率逐年升高,差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示:分娩≥2次的经产妇接受治疗的概率较初产妇低,其OR值为0.561(95%CI:0.357~0.880,P=0.012);与丈夫/性伴未感染的孕产妇相比,丈夫/性伴感染情况不详者是接受治疗的危险因素,其OR值为0.381(95%CI:0.264~0.551,P<0.001);与孕早期确诊的孕产妇相比,孕晚期确诊者是接受治疗的危险因素,其OR值为0.171(95%CI:0.115~0.255,P<0.001);分期Ⅰ~Ⅲ期梅毒患者接受治疗概率是隐性梅毒的1.605倍(95%CI:1.031~2.500,P=0.036);确诊时非梅毒螺旋体血清学试验滴度1∶8及以上的孕产妇接受治疗相对概率较高,其OR值为1.801(95%CI:1.225~2.649,P=0.003)。结论 青岛市梅毒感染孕产妇的治疗率偏低,而分娩次数、丈夫/性伴感染情况、梅毒确诊时期、获得梅毒分期和非梅毒螺旋体血清学试验滴度水平是治疗的影响因素,需制定针对性措施以提高治疗率。

     

    Abstract: ObjectiveTo analyze treatment of maternal syphilis infections and factors related to it in Qingdao.MethodsCasereporting records of maternal syphilis data in 2015-2019 were collected from national information system of prevention of mother-tochild transmission(MTCT) of HIV, syphilis and hepatitis B virus. Treatment of maternal syphilis infections and factors in relation to it were analyzed.ResultsTotally 1 387 maternal syphilis were recruited for analysis, and the rate of treatment was 69. 0%. The rate of treatment increased from 2015-2019, and the difference was significantly(P< 0. 05). Logistic regression showed that pluripara who have given birth≥2 were less likely to receive syphilis treatment(OR= 0. 561, 95%CI:0. 357-0. 880,P= 0. 012) compared to primipara. Infection status unknown of husband/sexual partner was risk factors for not receiving syphilis treatment(OR=0. 381, 95%CI:0. 264-0. 551,P< 0. 001). Being diagnosed in late pregnancy was risk factors for not receiving syphilis treatment(OR=0.171, 95%CI:0. 115-0. 255,P< 0. 001). The probability of receive syphilis treatment among maternal syphilis stage Ⅰ-Ⅲ patients was 1. 605 times compared with patients who were latent syphilis(95%CI:1. 031-2. 500,P= 0. 036). Pregnant women with nontreponemal serological tests titer ≥1∶ 8 were more likely to receive treatment(OR= 1. 801, 95%CI:1. 225-2. 649,P= 0. 003).ConclusionThe treatment rate of maternal syphilis infection was reletively low in Qingao. The number of childbirths, syphilis infection status of husband/sexual partner, period being diagnosed, clinical stage of maternal syphilis, nontreponemal serological test titer level are influence factors in relation to treatment. Specific measures should be taken to increase the rate of treatment.

     

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