Adolescents' attitudes toward expedited partner therapy for sexually transmitted infections.
Adolescents' attitudes toward expedited partner therapy for sexually transmitted infections.
复制标题
青少年对性传播感染的快速伴侣治疗的态度。
DOI：
10.1097/olq.0000000000000034
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发表时间：
2013
影响因子：
3.1
通讯作者：
Sucato,GinaS
中科院分区：
文献类型：
--
作者：
Radovic,Ana;Burstein,GaleR;Marshal,MichaelP;Murray,PamelaJ;Miller,Elizabeth;Sucato,GinaS
2010年，在2个城市青少年健康诊所就诊的青少年（N= 392）接受了一项关于通过给接触衣原体的伴侣开具处方来完成快速伴侣治疗（EPT）的可能性的调查。85%（330/387； 95%置信区间，81% Y89%）的患者报告接受EPT治疗。调整分析显示，高等教育、通知自我效能感和浪漫伴侣与EPT接受度相关。青少年在衣原体和淋病方面承受着不成比例的负担，并且经常通过与未经治疗的伴侣或新的伴侣接触而再次感染。2Y4治疗暴露性伴侣的通常临床做法是患者转诊：患者建议性伴侣寻求医疗评估和治疗。快速伴侣治疗（EPT）是一种替代方案，包括临床医生提供药物或处方，病人分发给伴侣(s)，在办公室访问的必要性。几项随机对照试验（RCTs）比较EPT与患者转诊进行衣原体感染伴侣管理的结果表明，在异性伴侣中，复发性和持续性衣原体感染率略有下降，伴侣治疗率有所增加。5Y8一项包括729名14至19岁少女的大型多中心随机对照试验显示，随访时衣原体患病率呈下降趋势（13% vs. 17%； P= 0.09），尽管很少有青少年年龄小于16岁。一些国家组织同意EPT可以改善青少年伴侣的治疗，承认EPT的合法性因州而异。9日元
Adolescents (N= 392) attending 2 urban adolescent health clinics in 2010 were surveyed regarding likelihood completing expedited partner therapy (EPT), by bringing a partner exposed to chlamydia a prescription. Eighty-five percent (330/387; 95% confidence interval, 81% Y89%), reported acceptance of EPT. Adjusted analyses showed higher education, notification self-efficacy, and romantic partner were associated with EPT acceptance.Adolescents experience a disproportionate burden of chlamydia and gonorrhea1 and often become reinfected through contact with an untreated or new partner. 2Y4 Usual clinical practice for treating an exposed partner is patient referral: the patient advises sexual partner (s) to seek medical evaluation and treatment. Expedited partner therapy (EPT) is an alternative that involves the clinician providing medication or a prescription for the patient to distribute to partner (s), foregoing the necessity of an office visit. Several randomized controlled trials (RCTs) comparing EPT with patient referral for chlamydia infection partner management demonstrated a small decrease in recurrent and persistent chlamydia infection rate and increased rates of partner treatment in heterosexual partners. 5Y8 One large multicenter RCT including 729 adolescent girls 14 to 19 years old demonstrated a trend toward decreasing chlamydia prevalence at follow-up (13% vs. 17%; P= 0.09), although few adolescents were younger than 16 years. 6 Several national organizations agree that EPT may improve adolescent partner treatment, recognizing that EPT legality varies by state. 9Y12