Langille D B, Shoveller J
Cobequid Health Unit, Nova Scotia Department of Health, Halifax.
Can J Public Health. 1992 Sep-Oct;83(5):358-61.
From September 1990 to March 1991, 47 of 52 patients with genital C. trachomatis infections in a rural health unit in Nova Scotia were interviewed about preventive education by physicians partner notification, past history, and treatment. Seventy-six percent of those with partners of the previous month were instructed by physicians to notify these partners. Twenty-five of 37 partners were notified. Of those not notified, 83% could have been reached. Reasons for cases not notifying partners included not being informed of test results, embarrassment, and not considering notification important. Fifty-two percent of cases were advised to practise safer sex; this was generally limited to advice to use condoms. Twenty-three percent had had a previous sexually transmitted disease. Treatment was appropriate in all cases where it could be determined. More preventive education by physicians and public health involvement in partner notification for such patients are required.
1990年9月至1991年3月,对新斯科舍省一个农村卫生单位的52例生殖系统沙眼衣原体感染患者中的47例进行了访谈,内容涉及医生通过性伴侣通知、既往病史及治疗情况开展的预防教育。有上月性伴侣的患者中,76%被医生告知通知这些性伴侣。37名性伴侣中有25名得到了通知。在未得到通知的性伴侣中,83%本可以联系上。病例未通知性伴侣的原因包括未被告知检测结果、感到尴尬以及认为通知不重要。52%的病例被建议采取更安全性行为;这通常仅限于建议使用避孕套。23%的病例曾患过性传播疾病。在所有能够确定的病例中,治疗都是恰当的。医生需要开展更多预防教育,公共卫生部门也需要更多地参与此类患者的性伴侣通知工作。