Wilkinson D, Harrison A, Lurie M, Abdool Karim S S
Centre for Epidemiological Research in South Africa, Medical Research Council, and Hlabisa Hospital.
Sex Transm Dis. 1999 Mar;26(3):152-6. doi: 10.1097/00007435-199903000-00005.
To design, introduce, and evaluate "STD syndrome packets" containing recommended drugs for each syndrome, four condoms, a partner treatment card, and a patient information leaflet, with the goal of improving sexually transmitted disease (STD) case management.
Packet design evolved around available packaging technology, informed by pilot testing with nurses working in primary care clinics, doctors in private medical practices, and patients with an STD, in Hlabisa, South Africa. Evaluation 1 year later included analysis of distribution records and interviews with 16 nurses and 64 patients.
A cheap packet (2 U. S. cents each, excluding contents) compatible with current legislation was designed and introduced to six public sector clinics and as a short pilot to five private medical practices. Four thousand eighty-five packets were distributed to the clinics, equivalent to approximately 115% of the STDs reported over that period. All 16 nurses reported using the packets, but only 63% did so all the time because of occasional supply problems. All believed the packets improved treatment by saving time (75%), improving supply of condoms and partner cards (44%), and making treatment easier (56%). Patients also responded positively, and most said they would buy a packet (up to $5) at a pharmacy (84%) or store (63%) if available.
The STD syndrome packets have the potential to improve STD syndromic management by standardizing therapy and improving the supply of condoms, partner cards, and information leaflets. Packets are popular with practitioners and patients, but consistent supply is essential for maximal impact. There may be scope for social marketing of the packets, which could further increase use.
设计、引入并评估“性传播感染综合征包”，其中包含针对每种综合征的推荐药物、四个避孕套、一张性伴治疗卡和一份患者信息手册，目标是改善性传播疾病（STD）病例管理。
根据在南非赫拉比萨的基层医疗诊所工作的护士、私人诊所医生以及性传播感染患者的试点测试结果，围绕现有的包装技术进行综合征包设计。一年后的评估包括对分发记录的分析以及对16名护士和64名患者的访谈。
设计出一种价格低廉（每个2美分，不包括内容物）且符合现行法规的综合征包，并引入到六家公共部门诊所，同时在五家私人诊所进行了短期试点。共向诊所分发了4085个综合征包，约相当于该时期报告的性传播感染病例数的115%。所有16名护士均报告使用过综合征包，但由于偶尔出现供应问题，只有63%的护士一直使用。所有护士都认为综合征包节省了时间（75%）、改善了避孕套和性伴卡的供应（44%）并使治疗更便捷（56%），从而改进了治疗。患者反应也很积极，大多数人表示如果药店（84%）或商店（63%）有售，他们愿意花5美元购买一个综合征包。
性传播感染综合征包有潜力通过规范治疗以及改善避孕套、性伴卡和信息手册的供应来改进性传播感染的综合征管理。综合征包受到从业者和患者的欢迎，但持续供应对于发挥最大影响至关重要。综合征包可能有社会营销的空间，这可能会进一步增加其使用。
