Los Angeles County Division of HIV/STD Programs, Los Angeles County Department of Public Health, Los Angeles, CA, USA.
Sex Transm Dis. 2012 Sep;39(9):701-5. doi: 10.1097/OLQ.0b013e3182593b51.
BACKGROUND/OBJECTIVES: We evaluated the effectiveness of a Community-Embedded Disease Intervention Specialist (CEDIS) in providing partner notification (PN) for primary syphilis cases in a high STD morbidity, community-based clinic serving men who have sex with men in Los Angeles.
The CEDIS was trained by the same standards as the local health department Disease Investigator Specialists but was employed by and stationed at the clinic where the primary cases were diagnosed. We compared the CEDIS on specific PN outcomes before and after placement of the CEDIS and among countywide men who have sex with men primary syphilis cases, excluding the cases from the CEDIS clinic.
In 2009-2010 after placement of the CEDIS, 100% (87) of primary cases assigned were interviewed; 28% (26) on the same day as their clinic visit and 64% (59) within 7 days. In 2006-2007 before placement of the CEDIS, 67% (43) of primary cases assigned were interviewed; only 2% (1) were interviewed within 7 days. In 2009-2010 countywide, 9% (21) of 252 primary cases assigned were interviewed on the same day as their clinic visit; 18% (45) within 7 days. After placement of the CEDIS, 15% (21) of 140 partners elicited were identified with early syphilis and brought to treatment compared with 0% of 13 partners elicited before placement of the CEDIS, and 15% (25) of 171 partners elicited countywide.
The CEDIS program fosters key elements to a successful PN program, such as prompt interviewing of newly diagnosed cases and community trust.
背景/目的：我们评估了社区嵌入式疾病干预专家（CEDIS）在为洛杉矶一家高性病发病率的、以男男性行为者为服务对象的社区诊所中的原发性梅毒病例提供性伴通知（PN）方面的有效性。
CEDIS 是按照当地卫生部门疾病调查专家的相同标准进行培训的，但由诊所雇用并派驻在该诊所，该诊所诊断出了最初的病例。我们比较了 CEDIS 在安置 CEDIS 前后以及在全县男男性行为者原发性梅毒病例中的特定 PN 结果，这些病例不包括 CEDIS 诊所的病例。
在 2009-2010 年 CEDIS 安置后，100%（87）分配的原发性病例接受了访谈；28%（26）在诊所就诊当天进行，64%（59）在 7 天内进行。在 2006-2007 年 CEDIS 安置前，分配的 67%（43）例原发性病例接受了访谈；只有 2%（1）在 7 天内进行了访谈。在 2009-2010 年全县范围内，分配的 252 例原发性病例中有 9%（21）在诊所就诊当天接受了访谈；18%（45）在 7 天内进行了访谈。在 CEDIS 安置后，与 CEDIS 安置前 0%的 13 名性伴相比，15%（21）名被诱导的性伴被发现患有早期梅毒并接受了治疗，而全县范围内有 15%（25）名被诱导的性伴。
CEDIS 计划促进了成功的 PN 计划的关键要素，例如及时对新诊断病例进行访谈和社区信任。
