Patient-Delivered Partner Therapy for Sexually Transmitted Diseases as Practiced by U.S. Physicians

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Sex Transm Dis (Impact Factor: 2.84). 03/2005; 32(2):101-5. DOI: 10.1097/01.olq.0000151417.43230.18
Source: PubMed


The objective of this study was to estimate how many U.S. physicians practice patient-delivered partner therapy (PDPT), which is the practice of giving patients diagnosed with curable sexually transmitted infections medication to give to their sex partners.
The authors conducted a national survey of physicians in specialties that diagnose the majority of sexually transmitted diseases in the United States.
A total of 3011 physicians diagnosed at least 1 case of either gonorrhea or chlamydial infection in the preceding year. For gonorrhea and chlamydial infection, 50% to 56% reported ever using PDPT; 11% to 14% reported usually or always doing so. Obstetricians and gynecologists and family practice physicians more often used PDPT than internists, pediatricians, and emergency department physicians. Clinicians who collected sex partner information, as well as those who saw more female and white patients, used PDPT most often.
PDPT is widely but inconsistently used throughout the United States and is typically provided to a minority of persons.

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    • "States and medical societies have long recognized that while this rule generally furthers patient health and safety, in some cases it can impede access to necessary medications. Perhaps the most well-known example of this recognition is expedited partner therapy (EPT), in which medications to treat sexually transmitted infections (STI) such as chlamydia and gonorrhea are prescribed to one individual with the explicit knowledge they will also be administered to that person's sex partner or partners (Hogben et al., 2005). In such cases, treating only the patient the prescriber sees is likely insufficient, as the chance of reinfection is high unless the infected partner is treated as well (American College of Obstetricians and Gynecologists, 2015). "
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    • "We note that although testing was compensated , treatment was not. The second is the limited availability of field-delivered therapy protocols and PDPT protocols in other counties and states [19] [20]. Third, the baseline prevalence of infection in our sample was modest and the prospective cohort relatively small such that without a comparison group, the true effectiveness of the field interventions , including PDPT, could not be compared with other models of STD screening and management in a similar population. "
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