The effectiveness of patient-delivered partner therapy and chlamydial and gonococcal reinfection in San Francisco.
The effectiveness of patient-delivered partner therapy and chlamydial and gonococcal reinfection in San Francisco.
复制标题
旧金山患者提供的伴侣治疗以及衣原体和淋球菌再感染的有效性。
DOI：
10.1097/olq.0b013e3181d8920f
复制
发表时间：
2010
影响因子：
3.1
通讯作者：
Klausner,JeffreyD
中科院分区：
文献类型：
--
作者：
Stephens,SallyC;Bernstein,KyleT;Katz,MitchellH;Philip,SusanS;Klausner,JeffreyD
Background:Patient-delivered partner therapy (PDPT) has been evaluated in randomized trials. No analysis has examined the impact of PDPT once implemented programmatically.Methods:We examined the association between receiving PDPT and Chlamydia trachomatis and Neisseria gonorrhoeae reinfection within 1 year in patients diagnosed at San Francisco City Clinic between October 31, 2005 and March 31, 2008. Propensity score modeling was used to control for the difference between persons who did and did not receive PDPT.Results:There was no significant difference between patients who received PDPT and those that did not in the crude cumulative risk for repeat infection with C. trachomatis or N. gonorrhoeae. Using propensity score analysis, the adjusted relative risk was 0.99 (0.86–1.14) for chlamydial reinfection and 0.90 (0.72–1.11) for gonococcal reinfection. Further analysis looking at men who have sex with men, men who have sex with women, and females showed no significant reductions in relative risk of reinfection for C. trachomatis or N. gonorrhoeae in these sub populations.Conclusions:Continued evaluation of PDPT on reinfection rates in real world settings as well as cost-effectiveness analyses of PDPT are needed to assess this alternative method of partner treatment.
