男男性行为者淋球菌和衣原体感染的性伴通知：传统处置编码低估了成功率。

Partner notification for gonococcal and chlamydial infections in men who have sex with men: success is underestimated by traditional disposition codes.

作者信息

Menza Timothy W, St De Lore Jef, Fleming Mark, Golden Matthew R

机构信息

Department of Epidemiology, Center for AIDS and STD, University of Washington, Seatle, Washington, USA.

出版信息

Sex Transm Dis. 2008 Jan;35(1):84-90. doi: 10.1097/OLQ.0b013e31814fb125.

DOI:10.1097/OLQ.0b013e31814fb125

PMID:17898677

Abstract

BACKGROUND

Recent reports evaluating partner notification (PN) efforts among men who have sex with men (MSM) have observed relatively poor outcomes. However, the validity of traditional PN disposition codes is not known, possibly leading to overly pessimistic assessments of PN outcomes.

OBJECTIVES

To evaluate PN practices among MSM with gonococcal or chlamydial infection, assess the utility of offering MSM PN assistance and compare patient self-reported PN outcomes with those recorded using Disease Intervention Specialist (DIS) disposition codes.

STUDY DESIGN

We reviewed the records of all MSM with gonococcal or chlamydial infection interviewed by Public Health-Seattle and King County for purposes of PN in 2004. Men were asked to indicate whether each of their sex partners were already notified or treated at time of interview and were offered PN assistance.

RESULTS

DIS interviewed 409 of 628 (65%) MSM reported with gonococcal or chlamydial infection. Three hundred thirteen of the 409 (76%) interviewed men provided information about their number of sex partners in the 60 days before diagnosis and specific information about 1 or more of their potentially exposed partners. These index cases reported a total of 1037 sex partners, but provided information about only 634 (61%). Two hundred thirteen of the 313 (68%) index cases reported notifying at least 1 partner. Index cases reported that 295 of all 1037 (28%) reported partners had been notified, and that 170 (16%) were treated; DIS disposition codes documented the treatment of 111 (11%) partners. Only 18 (6%) index cases requested DIS assistance contacting a partner; DIS notified and assured the treatment of 24 of the 35 (69%) partners reported by these 18 men.

CONCLUSIONS

Although MSM with gonorrhea or chlamydia seldom accept assistance notifying partners, they report higher levels of partner treatment than suggested by DIS disposition codes, with 68% indicating that they had notified at least 1 sex partner and 46% reporting that at least 1 of their partners received treated.

摘要

背景

近期评估男男性行为者（MSM）中伴侣通知（PN）工作的报告显示结果相对较差。然而，传统PN处置代码的有效性尚不清楚，这可能导致对PN结果的评估过于悲观。

目的

评估感染淋球菌或衣原体的男男性行为者的PN做法，评估为男男性行为者提供PN援助的效用，并比较患者自我报告的PN结果与使用疾病干预专家（DIS）处置代码记录的结果。

研究设计

我们回顾了2004年西雅图和金县公共卫生部门为进行PN而访谈的所有感染淋球菌或衣原体的男男性行为者的记录。男性被要求指出在访谈时其每个性伴侣是否已被通知或治疗，并获得PN援助。

结果

DIS对628名报告感染淋球菌或衣原体的男男性行为者中的409名（65%）进行了访谈。在接受访谈的409名男性中，有313名（76%）提供了诊断前60天内其性伴侣数量的信息以及1名或多名可能接触过的伴侣的具体信息。这些索引病例共报告了1037名性伴侣，但仅提供了634名（61%）的信息。313名索引病例中有213名（68%）报告至少通知了1名伴侣。索引病例报告称，在所有1037名报告的伴侣中，有295名（28%）已被通知，170名（16%）已接受治疗；DIS处置代码记录了111名（11%）伴侣的治疗情况。只有18名（6%）索引病例请求DIS协助联系伴侣；DIS通知并确保了这18名男性报告的35名伴侣中的24名（69%）得到治疗。