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美国妇产科医师学会委员会意见第 737 号:加速伴侣治疗。

ACOG Committee Opinion No. 737: Expedited Partner Therapy.

出版信息

Obstet Gynecol. 2018 Jun;131(6):e190-e193. doi: 10.1097/AOG.0000000000002621.

Abstract

Sexually transmitted infections (STIs) disproportionately affect women and create a preventable threat to their fertility. One factor that contributes to young women's high rates of STIs is reinfection from an untreated sexual partner. One way to address this problem is through expedited partner therapy, the practice of treating the sexual partners of patients in whom STIs are diagnosed. Expedited partner therapy enables the obstetrician-gynecologist or other provider to give prescriptions or medications to patients to take to their partners without first examining these partners. Despite the effectiveness of expedited partner therapy, numerous legal, medical, practical, and administrative barriers hinder its routine use by obstetrician-gynecologists. The American College of Obstetricians and Gynecologists supports the use of expedited partner therapy as a method of preventing gonorrhea and chlamydial reinfection when a patient's partners are unable or unwilling to seek medical care. Expedited partner therapy should be accompanied by patient counseling and written treatment instructions for the patient's partner(s). Partners receiving expedited partner therapy should be encouraged to seek additional medical evaluation as soon as possible to discuss screening for other STIs, including human immunodeficiency virus (HIV) infection.

摘要

性传播感染(STIs)不成比例地影响女性,并对她们的生育能力造成可预防的威胁。导致年轻女性 STI 发病率高的一个因素是来自未经治疗的性伴侣的再感染。解决这个问题的一种方法是通过加速性伴侣治疗,即对诊断出患有 STI 的患者的性伴侣进行治疗的做法。加速性伴侣治疗使妇产科医生或其他提供者能够在不首先检查这些伴侣的情况下,给患者开处方或药物让他们带给伴侣。尽管加速性伴侣治疗有效,但许多法律、医疗、实际和行政障碍阻碍了妇产科医生常规使用它。美国妇产科医师学会支持将加速性伴侣治疗作为预防淋病和衣原体再感染的一种方法,当患者的伴侣无法或不愿寻求医疗护理时。加速性伴侣治疗应伴随对患者的咨询和为患者的伴侣提供书面治疗说明。接受加速性伴侣治疗的伴侣应尽快鼓励他们寻求额外的医疗评估,以讨论筛查其他性传播感染,包括人类免疫缺陷病毒(HIV)感染。

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