Golden Matthew R, Hughes James P, Brewer Devon D, Holmes King K, Whittington William L H, Hogben Matthew, Malinski Cheryl, Golding Anne, Handsfield H Hunter
Public Health-Seattle and King County, Seattle, Washington, USA.
Sex Transm Dis. 2007 Aug;34(8):598-603. doi: 10.1097/01.olq.0000258319.54316.06.
To evaluate a partner notification program for gonorrhea and chlamydial infection that involves communitywide access to free patient-delivered partner therapy (PDPT) and use of case-report forms to triage patients to receive partner notification assistance.
We evaluated program components in randomly selected cases and compared outcomes before and after program institution.
Following institution of the program, the percentage of cases who received PDPT from their diagnosing clinician increased from 5.6% to 16% (adjusted OR 3.2, 2.5-4.1). Among randomly selected cases, those referred to the health department via the case-report form were significantly more likely than nonreferred cases to have untreated sex partners (76% vs. 35%, OR 6.0, 95% CI 4.5-8.0), to accept PDPT from the health department (36% vs. 14%, 3.3, 95% CI 2.4-4.7), and to request that health department staff notify a partner for them (11% vs. 3%, OR 3.5, 95% CI 1.8-6.7). The percentage of cases classified as having all of their partners treated increased from 39% to 65% concurrent with institution of the program.
A public health program that promotes routine use of PDPT and referral of selected patients for partner notification assistance appears to have improved partner notification outcomes.
评估一项针对淋病和衣原体感染的性伴通知项目，该项目包括社区范围内可免费获得患者自行提供的性伴治疗（PDPT），并使用病例报告表对患者进行分类以获得性伴通知协助。
我们在随机选择的病例中评估项目组成部分，并比较项目实施前后的结果。
项目实施后，从诊断医生处接受PDPT的病例百分比从5.6%增至16%（校正比值比3.2，2.5 - 4.1）。在随机选择的病例中，通过病例报告表转诊至卫生部门的病例比未转诊病例更有可能有未治疗的性伴（76%对35%，比值比6.0，95%可信区间4.5 - 8.0），接受卫生部门提供的PDPT（36%对14%，3.3，95%可信区间2.4 - 4.7），并要求卫生部门工作人员为其通知性伴（11%对3%，比值比3.5，95%可信区间1.8 - 6.7）。与项目实施同时，被分类为所有性伴均得到治疗的病例百分比从39%增至65%。
一项促进PDPT常规使用并将部分患者转诊以获得性伴通知协助的公共卫生项目似乎改善了性伴通知结果。
