HIV Surveillance Among Pregnant Women Attending Antenatal Clinics: Evolution and Current Direction.
HIV Surveillance Among Pregnant Women Attending Antenatal Clinics: Evolution and Current Direction.
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DOI：
10.2196/publichealth.8000
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发表时间：
2017-12-05
影响因子：
8.5
通讯作者：
Swaminathan, Mahesh
中科院分区：
文献类型：
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作者：
Dee, Jacob;Garcia Calleja, Jesus M;Swaminathan, Mahesh
自 20 世纪 80 年代末以来，基于非关联匿名检测 (UAT)，对前往特定产前诊所 (ANC) 的孕妇进行人体免疫缺陷病毒 (HIV) 哨点血清监测，为跟踪 HIV 流行率和趋势以及为大多数艾滋病毒流行国家的全球和国家 HIV 模型提供宝贵信息。然而，艾滋病毒检测、预防母婴传播 (PMTCT) 和抗逆转录病毒治疗覆盖范围的扩大，加剧了人们对 UAT 的伦理担忧。 PMTCT 项目现在定期从同一孕妇收集人口统计和 HIV 检测信息作为血清监测，因此提供了基于 UAT 的 ANC 血清监测的替代方案。本文报告了对参加 ANC 的孕妇进行艾滋病毒监测的全球方法的演变和当前方向，包括从传统的基于 UAT 的血清监测的转变，转向世界卫生组织和联合国艾滋病毒/艾滋病联合规划署关于根据常规 PMTCT 项目数据对参加 ANC 的孕妇实施监测的新指南。
Since the late 1980s, human immunodeficiency virus (HIV) sentinel serosurveillance among pregnant women attending select antenatal clinics (ANCs) based on unlinked anonymous testing (UAT) has provided invaluable information for tracking HIV prevalence and trends and informing global and national HIV models in most countries with generalized HIV epidemics. However, increased coverage of HIV testing, prevention of mother-to-child transmission (PMTCT), and antiretroviral therapy has heightened ethical concerns about UAT. PMTCT programs now routinely collect demographic and HIV testing information from the same pregnant women as serosurveillance and therefore present an alternative to UAT-based ANC serosurveillance. This paper reports on the evolution and current direction of the global approach to HIV surveillance among pregnant women attending ANCs, including the transition away from traditional UAT-based serosurveillance and toward new guidance from the World Health Organization and the Joint United Nations Programme on HIV/AIDS on the implementation of surveillance among pregnant women attending ANCs based on routine PMTCT program data.