Hadsall Candy, Riedesel Melissa, Carr Peter, Lynfield Ruth
STD and HIV Section, Infectious Disease Epidemiology, Prevention and Control Division, Minnesota Department of Health, USA.
Minn Med. 2009 Oct;92(10):55-7.
Chlamydia and gonorrhea are the two most commonly reported communicable diseases in Minnesota and the United States. Treatment of sexual partners is essential for control and prevention of these and other sexually transmitted diseases (STDs). However, traditional strategies for getting partners into treatment such as patient referral, physician referral, or referral from the health department are not always successful. Expedited partner therapy (EPT) is the practice of treating the sexual partners of persons with STDs without medical evaluation. This article describes the evidence that EPT reduces persistent chlamydial and gonococcal infections and the Centers for Disease Control and Prevention's recommendations for EPT for heterosexual partners of patients with chlamydia and/or gonorrhea. It also addresses legislation that removed the last-known legal barrier to EPT in Minnesota as well as concerns about implementation of this treatment strategy.
衣原体感染和淋病是明尼苏达州及美国报告最多的两种传染病。治疗性伴侣对于控制和预防这些及其他性传播疾病至关重要。然而,传统的促使伴侣接受治疗的策略,如患者转诊、医生转诊或卫生部门转诊,并不总是成功的。加速性伴侣治疗(EPT)是指在不进行医学评估的情况下,对患有性传播疾病者的性伴侣进行治疗的做法。本文介绍了加速性伴侣治疗可减少衣原体和淋病持续感染的证据,以及疾病控制与预防中心针对衣原体和/或淋病患者异性性伴侣的加速性伴侣治疗建议。文章还讨论了消除明尼苏达州加速性伴侣治疗最后一个已知法律障碍的立法,以及对这种治疗策略实施情况的担忧。