Patient-delivered partner medication in the UK: an unlawful but popular choice

被引:12
作者
Coyne, Katherine M. [1 ]
Cohen, C. E. [1 ]
Smith, N. A. [1 ]
Mandalia, S. [1 ]
Barton, S. [1 ]
机构
[1] Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
关键词
contact tracing; sexual partners; attitude of health personnel; patients; sexually transmitted diseases;
D O I
10.1258/095646207782716956
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Current methods of contact tracing are only partially effective. Patient-delivered partner medication (PDPM), in which patients are dispensed antibiotics for their sexual partner(s), has been shown to reduce persistent and recurrent infections. We performed a questionnaire to canvass opinions of UK staff and patients about PDPM. The response rate was 72% (88/122) for staff and 90% (473/525) for patients. The majority of staff (81 %) thought that PDPM would be acceptable to patients, and should be combined with written information and a recommendation to attend a clinic. Patients were mostly (59%) in favour of PDPM, 87% thought it would make it easier to abstain from sex during treatment, and 94% indicated that after being given antibiotics by a partner, they would attend a clinic for tests. Concerns expressed by staff and patients included drug allergies, potential lack of information provided to partners, management of complicated infection, pregnancy and medicolegal implications.
引用
收藏
页码:829 / 831
页数:3
相关论文
共 17 条
[1]   Effect of expedited treatment of sex partners on recurrent or persistent gonorrhea or chlamydial infection [J].
Golden, MR ;
Whittington, WLH ;
Handsfield, HH ;
Hughes, JP ;
Stamm, WE ;
Hogben, M ;
Clark, A ;
Malinski, C ;
Helmers, JRL ;
Thomas, KK ;
Holmes, KK .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (07) :676-685
[2]   Recurrent chlamydial infections increase the risks of hospitalization for ectopic pregnancy and pelvic inflammatory disease [J].
Hillis, SD ;
Owens, LM ;
Marchbanks, PA ;
Amsterdam, LE ;
MacKenzie, WR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 176 (01) :103-107
[3]   The prevalence of chlamydia, gonorrhea, and trichomonas in sexual partnerships: Implications for partner notification and treatment [J].
Khan, A ;
Fortenberry, JD ;
Juliar, BE ;
Tu, WZ ;
Orr, DP ;
Batteiger, BE .
SEXUALLY TRANSMITTED DISEASES, 2005, 32 (04) :260-264
[4]   Effectiveness of patient delivered partner medication for preventing recurrent Chlamydia trachomatis [J].
Kissinger, P ;
Brown, R ;
Reed, K ;
Salifou, J ;
Drake, A ;
Farley, TA ;
Martin, DH .
SEXUALLY TRANSMITTED INFECTIONS, 1998, 74 (05) :331-333
[5]   Patient-delivered partner treatment for male urethritis: A randomized, controlled trial [J].
Kissinger, P ;
Mohammed, H ;
Richardson-Alston, G ;
Leichliter, JS ;
Taylor, SN ;
Martin, DH ;
Farley, TA .
CLINICAL INFECTIOUS DISEASES, 2005, 41 (05) :623-629
[6]   Azithromycin versus doxycycline for genital chlamydial infections - A meta-analysis of randomized clinical trials [J].
Lau, CY ;
Qureshi, AK .
SEXUALLY TRANSMITTED DISEASES, 2002, 29 (09) :497-502
[7]   Developing national outcome standards for the management of gonorrhoea and genital chlamydia in genitourinary medicine clinics [J].
Low, N ;
Welch, J ;
Radcliffe, K .
SEXUALLY TRANSMITTED INFECTIONS, 2004, 80 (03) :223-229
[8]  
MATHEWS C, 2001, COCHRANE DB SYST REV, V4, DOI DOI 10.1002/14651858.CD002843
[9]   Efficacy of patient-delivered partner medication in the treatment of sexual partners in Uganda [J].
Nuwaha, F ;
Kambugu, F ;
Nsubuga, PSJ ;
Höjer, B ;
Faxelid, E .
SEXUALLY TRANSMITTED DISEASES, 2001, 28 (02) :105-110
[10]   Patient-delivered partner therapy for chlamydial infections: Attitudes and practices of California physicians and nurse practitioners [J].
Packel, Laura J. ;
Guerry, Sarah ;
Bauer, Heidi M. ;
Rhew, Miriam ;
Chow, Joan ;
Samuel, Michael ;
Bolan, Gail .
SEXUALLY TRANSMITTED DISEASES, 2006, 33 (07) :458-463