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患者伴侣治疗:管理衣原体感染患者性伴侣的一种选择。

Patient-delivered partner therapy: One option for management of sexual partner(s) of a patient diagnosed with a chlamydia infection.

机构信息

BSocSc (Hons), PhD, Research Fellow, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Vic.

Jane Goller GradDip (Nursing), MPH, MHlthSc, PhD, Research Fellow, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Vic.

出版信息

Aust J Gen Pract. 2022 Jun;51(6):425-429. doi: 10.31128/AJGP-07-21-6066.

DOI:10.31128/AJGP-07-21-6066
PMID:35637588
Abstract

BACKGROUND

Chlamydia is the most commonly diagnosed bacterial sexually transmissible infection (STI) in Australia. Partner management is key to reducing transmission and a cornerstone of best practice chlamydia management. While most patients will opt for telling their partner(s) themselves, patient-delivered partner therapy (PDPT) offers an alternative way to inform and treat partners where usual management is inappropriate or unlikely to be undertaken. Guidelines for PDPT vary across Australia. Recent research found that general practitioners (GP)s want practical guidance for using PDPT in appropriate situations.

OBJECTIVE

The aim of this article is to provide an overview of the process of offering PDPT and note the challenges GPs may face in its provision.

DISCUSSION

PDPT is one option for partner management when sexual partner(s) are unlikely or unable to seek timely care themselves. However, there are challenges to the use of PDPT in general practice. The provision of clear guidelines is an essential step to promote its appropriate use.

摘要

背景

衣原体是澳大利亚最常见的经性传播的细菌感染(STI)。性伴侣管理是减少传播的关键,也是最佳衣原体管理的基石。虽然大多数患者会选择自己告知性伴侣,但患者递发性伴侣治疗(PDPT)提供了一种替代方法,可在常规管理不适当或不太可能进行的情况下告知和治疗性伴侣。澳大利亚各地的 PDPT 指南有所不同。最近的研究发现,全科医生(GP)希望在适当的情况下使用 PDPT 提供实用的指导。

目的

本文旨在概述提供 PDPT 的过程,并指出全科医生在提供 PDPT 时可能面临的挑战。

讨论

当性伴侣不太可能或无法自行及时寻求治疗时,PDPT 是性伴侣管理的一种选择。然而,在全科实践中使用 PDPT 存在挑战。提供明确的指南是促进其合理使用的重要步骤。

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引用本文的文献

1
Chlamydia prevention and management in Australia: reducing the burden of disease.澳大利亚的衣原体预防与管理:减轻疾病负担
Med J Aust. 2022 Nov 21;217(10):499-501. doi: 10.5694/mja2.51749. Epub 2022 Nov 6.