Steiner Katherine C, Davila Veronica, Kent Charlotte K, Chaw Janice K, Fischer Lyn, Klausner Jeffrey D
San Francisco Department of Public Health, STD Prevention and Control Services, CA, USA.
Am J Public Health. 2003 Jun;93(6):882-4. doi: 10.2105/ajph.93.6.882.
In 1998, treatment completion was low among chlamydia and gonorrhea cases reported to the San Francisco Department of Public Health and assigned for treatment follow-up. To improve treatment completion among growing numbers of chlamydia and gonorrhea cases, the department implemented field-delivered therapy (FDT), a single-dose, directly observed therapy protocol for uncomplicated chlamydial and gonococcal infections. After the protocol was implemented in March 1999, the proportion of cases completing treatment increased significantly, from 61.8% in 1998 to 81.0% in 2000. The greatest increases in treatment completion were observed for females and individuals younger than 20 years old. FDT is an effective, feasible, and convenient way to reach and treat individuals who are unlikely to return for chlamydia and gonorrhea treatment.
1998年，向旧金山公共卫生部报告并分配进行治疗随访的衣原体和淋病病例的治疗完成率较低。为提高越来越多的衣原体和淋病病例的治疗完成率，该部门实施了现场给药疗法（FDT），这是一种针对无并发症衣原体和淋球菌感染的单剂量直接观察治疗方案。1999年3月实施该方案后，完成治疗的病例比例显著增加，从1998年的61.8%增至2000年的81.0%。治疗完成率增幅最大的是女性和20岁以下的人群。现场给药疗法是一种有效、可行且便捷的方式，可帮助接触并治疗那些不太可能返回接受衣原体和淋病治疗的患者。
