Hogben Matthew, Burstein Gale R
Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Adolesc Med Clin. 2006 Oct;17(3):687-95; abstract xii. doi: 10.1016/j.admecli.2006.06.005.
Management of sex partners is a cornerstone of sexually transmitted infection control in the United States. Face-to-face investigation and notification of exposure of sex partners by public health professionals seems to be the most effective method of ensuring appropriate partner management. However, resources rarely permit such intensive partner management for gonorrhea and chlamydial infection. Alternatives to public health-assisted notification and referral include expedited partner therapy, in which partners are treated before evaluation, most typically through patient-delivered therapy. Results from trials have shown generally favorable biomedical and behavioral outcomes. This article discusses the evidence for expedited partner therapy and its associated liability, confidentiality, financial, and administrative issues relating to adolescent patients and their health care providers.
性伴侣管理是美国性传播感染控制的基石。由公共卫生专业人员进行面对面调查并通知性伴侣接触情况，似乎是确保适当性伴侣管理的最有效方法。然而，资源很少允许对淋病和衣原体感染进行如此密集的性伴侣管理。公共卫生协助通知和转诊的替代方法包括加速性伴侣治疗，即伴侣在评估前接受治疗，最典型的是通过患者提供治疗。试验结果总体上显示出良好的生物医学和行为结果。本文讨论了加速性伴侣治疗的证据及其相关的责任、保密、财务以及与青少年患者及其医疗服务提供者相关的行政问题。
