Print Email Facebook Twitter Antenatal screening for HIV, hepatitis B and syphilis in the Netherlands is effective Title Antenatal screening for HIV, hepatitis B and syphilis in the Netherlands is effective Author op de Coul, E.L.M. Hahné, S. van Weert, Y.M. Oomen, P. Smit, S. van der Ploeg, C.P.B. Notermans, D.W. Boer, K. van der Sande1, M.A.B. Publication year 2011 Abstract A screening programme for pregnant women has been in place since the 1950s in the Netherlands. In 2004 universal HIV screening according to opting out was implemented. Here, we describe the evaluation of the effectiveness of antenatal screening in the Netherlands for 2006-2008 for HIV, hepatitis B virus (HBV) and syphilis in preventing mother-to-child transmission, by using various data sources. The results of antenatal screening (2006-2008) were compared with data from pregnant women and newborns from other data sources. Each year, around 185,000 pregnant women were screened for HIV, HBV and syphilis. Refusal rates for the screening tests were low, and were highest (0.2%) for HIV. The estimated annual prevalence of HIV among pregnant women was 0.05%. Prior to the introduction of screening, 5-10 children were born with HIV annually After the introduction of screening in 2004, only 4 children were born with HIV (an average of 1 per year). Two of these mothers had become pregnant prior to 2004; the third mother was HIV negative at screening and probably became infected after screening; the fourth mother's background was unknown. Congenital syphilis was diagnosed in fewer than 5 newborns annually and 5 children were infected with HBV. In 3 of these, the mothers were HBeAg positive (a marker for high infectivity). We estimated that 5-10 HIV, 50-75 HBV and 10 syphilis cases in newborns had been prevented annually as a result of screening. The screening programme was effective in detecting HIV, HBV and syphilis in pregnant women and in preventing transmission to the child. Since the introduction of the HIV screening the number of children born with HIV has fallen dramatically. Subject HumanCH - Child HealthBSS - Behavioural and Societal SciencesHealthy for LifeHealthHealthy Living To reference this document use: http://resolver.tudelft.nl/uuid:5bf94ffc-341a-4000-bce5-5930a70cf3f1 DOI https://doi.org/10.1186/1471-2334-11-185 TNO identifier 464034 Source BMC Infectious Diseases, 11 Article number No.: 185 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.