Hansman Emily, Klausner Jeffrey D
David Geffen School of Medicine University of California Los Angeles, Los Angeles, CA, USA.
University of Southern California Keck School of Medicine, 1845 North Soto Street, Health Sciences Campus, Los Angeles, CA 90032, USA.
Infect Dis Clin North Am. 2023 Jun;37(2):405-426. doi: 10.1016/j.idc.2023.02.003. Epub 2023 Mar 15.
Partner management of sexually transmitted infection (STIs) is essential to identify and treat new cases, prevent reinfection in the index case, interrupt chains of transmission, reduce STI-related morbidity, and target STI screening and treatment interventions. The responsibility for partner notification and treatment falls on the health care provider. Approaches to partner management include patient referral, provider referral, contractual referral, and expedited partner therapy (EPT), with EPT and enhanced partner referral outperforming other methods. This article provides an overview of clinical recommendations regarding partner management, with particular emphasis on EPT, and an update on new and emerging evidence in the field.
性传播感染(STIs)的性伴管理对于识别和治疗新病例、预防索引病例再次感染、中断传播链、降低与性传播感染相关的发病率以及针对性地进行性传播感染筛查和治疗干预至关重要。性伴通知和治疗的责任落在医疗服务提供者身上。性伴管理的方法包括患者转诊、提供者转诊、合同转诊和加速性伴治疗(EPT),其中EPT和强化性伴转诊的效果优于其他方法。本文概述了关于性伴管理的临床建议,特别强调了EPT,并介绍了该领域新出现的证据。