Ramstedt K, Forssman L, Johannisson G
Department of Dermato-venereology, University of Göteborg, Sweden.
Int J STD AIDS. 1991 Mar-Apr;2(2):116-8. doi: 10.1177/095646249100200208.
Four different types of contact tracing for partners of Chlamydia trachomatis infected patients were compared with respect to reinfections during two 15-month periods in 1979/80 and in 1983/84. Between the two study periods a gradual improvement in contact tracing occurred. No reduction in overall reinfections was observed in the second period, reinfections occurring within 12 weeks were similar in the two periods. Treatment of the regular partner (by giving the woman a prescription for her partner) without examination or further partner follow-up resulted in few reinfections. A system of partner referral without verification that partners actually appeared for examination resulted in significantly more reinfections by the regular partner than a system with non-mandatory verification: 60 of 997 women (6%) compared with 6 of 645 (1%). The addition of C. trachomatis infection to the existing STD legislation resulted in fewer identified partners refusing examination than previously, one of 254 men (0.4%) compared with 40 of 223 (18%) before legal inclusion.
在1979/80年和1983/84年的两个15个月期间，对沙眼衣原体感染患者的性伴侣采用四种不同类型的接触者追踪方法进行了比较，以观察再感染情况。在这两个研究期间，接触者追踪方法逐渐得到改进。在第二个时期未观察到总体再感染率下降，两个时期内12周内发生的再感染情况相似。对固定性伴侣不进行检查或进一步追踪，仅给女性开具其伴侣的处方进行治疗，再感染情况较少。一种伴侣转诊系统，若不核实伴侣是否实际前来检查，与一种非强制性核实系统相比，固定性伴侣的再感染明显更多：997名女性中有60名（6%），而645名中有6名（1%）。将沙眼衣原体感染纳入现有的性传播疾病法规后，拒绝检查的已识别伴侣比以前减少，法律纳入前223名中有40名（18%），而纳入后254名男性中有1名（0.4%）。
