Learner Emily R, Schlanger Karen, Mauk Kerry, Pham Cau D, Mukai Rachel, Mulleavey Lacy, Kerani Roxanne P, Albano Terilyn, Sessoms Brandy, Holderman Justin L, Toro Brian, Sankaran Madeline, Kirkcaldy Robert D
From the Division of STD Prevention, National Center for HIV/AIDS, Hepatitis, STD Prevention and TB Elimination, Centers for Disease Control and Prevention, Atlanta, GA.
Milwaukee Health Department, Milwaukee, WI.
Sex Transm Dis. 2021 Dec 1;48(12S Suppl 2):S124-S130. doi: 10.1097/OLQ.0000000000001527.
The Centers for Disease Control and Prevention implemented Strengthening the US Response to Resistant Gonorrhea (SURRG) to build local detection and response capacity and evaluate responses to antibiotic-resistant gonorrhea outbreaks, including partner services for gonorrhea. We evaluated outcomes of traditional partner services conducted under SURRG, which involved (1) counseling index patients and eliciting sexual partners; (2) interviewing, testing, and treating partners; and (3) providing partner services to partners newly diagnosed with gonorrhea. We also evaluated outcomes of enhanced partner services, which additionally involved interviewing and testing partners of persons who tested negative, and social contacts of index patients and partners.
We analyzed partner services investigation data from 8 jurisdictions participating in SURRG from 2017 to 2019. We summed total index patients, partners from traditional partner services, and partners and contacts from enhanced partner services, and calculated partner services outcomes among partners and contacts. We also visualized sexual networks from partner services data.
Of 1242 index patients identified, 506 named at least 1 sexual partner. Traditional partner services yielded 1088 sexual partners, and 105 were newly diagnosed with gonorrhea. Enhanced partner services yielded an additional 59 sexual partners and 52 social contacts. Of those partners and contacts, 3 were newly diagnosed with gonorrhea. Network visualization revealed sparse networks with few complex partnership clusters.
Traditional partner services for gonorrhea may be useful for eliciting, notifying, and diagnosing partners of index patients in an outbreak setting. Enhanced partner services are unlikely to be effective for eliciting, notifying, and diagnosing a substantial number of additional people.
美国疾病控制与预防中心实施了“加强美国应对耐药淋病（SURRG）”项目，以建立本地检测和应对能力，并评估对抗生素耐药淋病疫情的应对措施，包括淋病的性伴服务。我们评估了在SURRG项目下开展的传统性伴服务的结果，该服务包括：（1）为指示病例提供咨询并找出性伴；（2）对性伴进行访谈、检测和治疗；（3）为新诊断出淋病的性伴提供性伴服务。我们还评估了强化性伴服务的结果，该服务还包括对检测结果为阴性者的性伴以及指示病例和性伴的社会接触者进行访谈和检测。
我们分析了2017年至2019年参与SURRG项目的8个司法管辖区的性伴服务调查数据。我们汇总了指示病例总数、传统性伴服务中的性伴以及强化性伴服务中的性伴和接触者，并计算了性伴和接触者中性伴服务的结果。我们还根据性伴服务数据绘制了性网络。
在1242名被识别出的指示病例中，506人至少说出了1名性伴。传统性伴服务找到了1088名性伴，其中105人被新诊断出淋病。强化性伴服务又找到了59名性伴和52名社会接触者。在这些性伴和接触者中，有3人被新诊断出淋病。网络可视化显示网络稀疏，几乎没有复杂的性伴群集。
淋病的传统性伴服务可能有助于在疫情暴发时找出、通知和诊断指示病例的性伴。强化性伴服务不太可能有效地找出、通知和诊断大量额外的人群。
