台灣愛滋病毒母子垂直感染個案之分析探討

Case Analysis of Current mother-to-child HIV Transmission in Taiwan

黃彥芳(Yen-Fang Haung) ； 謝雅汶(Ya-Wen Hsieh) ； 蔡淑芬(Su-Fen Tsai) ； 歐乃銘(Nai-Ming Ou) ； 蘇益仁(Ih-Jen Su)

《台灣公共衛生雜誌》 24卷3期 (2005/06) Pp. 217-223

https://doi.org/10.6288/TJPH2005-24-03-06

摘要

目標：國內自1988年通報第l例母子垂直感染愛滋病毒個案，至2003年底累積9名個案。本文旨在了解個案感染之相關因素及預後，以收防微杜漸之效。方法：母子垂直感染個案為獲自所研析疾病管制局1988至2003年的通報資料庫，我們進一步透過家庭訪視收集感染疾病史相關資料，再以描述性統計歸納。結果：9名個案，男4名、女5名。通報時年齡最大8歲、最小1歲。9名個案分別由8位愛滋母親所生（3位外國籍），其中7位懷孕生產皆不知已感染，l位已知感染但隱瞞感染事實，8位母親懷孕產檢皆無愛滋病毒篩檢，造成9位愛滋嬰兒皆未有預防措施而感染。又4對夫妻雙方皆感染，3位小孩因父母一方刻意隱瞞造成對方感染而發生。結論：為防治國內母子愛滋病毒垂直感染，全民健保應提供孕婦愛滋病毒諮商篩檢服務，並研議保障感染者配偶和性伴侶相對健康權的法令等政策。

關鍵字

愛滋病毒 ； 母子垂直感染 ； 健康權法令

並列摘要

Objectives: This report described factors and prognoses associated with HIV vertical transmission cases in Taiwan. Methods: Descriptive statistical analysis was performed on childhood HIV/AIDS using a data bank obtained from the Center for Disease Control in Taiwan. Trained public health nurses were employed to interview with patients, mothers or their family members for collecting information on infection history. Results: Nine HIV vertical transmission cases had been reported by 2003 in Taiwan since 1988, 4 boys and 5 girls ages between 1 years old and 8 years old at diagnosis. They were born to 8 HIV infected mothers and 4 infected fathers. None of these mothers had been tested for HIV for prenatal care. Among the mothers, 7 had no knowledge of their HIV status at pregnancy, 1 person who gave birth to 2 infected cases intentionally kept secret of their infected status, and 3 persons were immigrants from other Asian countries. Two persons (one mother and one father) didn't reveal their HIV status to their spouse that induced 3 vertical transmission cases. Conclusion: This study suggests that HIV counseling and testing should be provided to all pregnant women in Taiwan. Along with a more vigorous policy, mandated by law to protect the spouse or partners of the infected.

並列關鍵字

HIV ； mother-to-child transmission ； MTCT