Committee opinion no 632: Expedited partner therapy in the management of gonorrhea and chlamydial infection.
Committee opinion no 632: Expedited partner therapy in the management of gonorrhea and chlamydial infection.
复制标题
委员会第 632 号意见：治疗淋病和衣原体感染的快速伴侣治疗。
DOI：
10.1097/01.aog.0000466366.67312.8c
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发表时间：
2015
影响因子：
7.2
通讯作者：
Societyofadolescentmedicine
中科院分区：
文献类型：
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作者：
Societyofadolescentmedicine
性传播感染对妇女的影响不成比例，并对其生育能力构成可预防的威胁。导致年轻女性性传播感染高发的一个因素是未经治疗的性伴侣的再感染。解决这一问题的一种方法是通过快速伴侣治疗，即治疗被诊断为性传播感染的患者的性伴侣。快速伴侣治疗使妇产科医生或其他提供者能够在不首先检查这些伴侣的情况下给患者开处方或药物给他们的伴侣。尽管快速伴侣治疗的有效性，许多法律，医疗，实际和行政障碍阻碍其常规使用的妇产科医生。美国妇产科医师学会支持在患者的伴侣不能或不愿就医时，将伴侣快速治疗作为预防淋病和衣原体再感染的一种方法。加速伴侣治疗应伴随患者咨询和患者的伴侣(s)的书面治疗说明。应鼓励接受快速伴侣治疗的伴侣尽快寻求额外的医疗评估，以讨论筛查其他性传播感染，包括人类免疫缺陷病毒（艾滋病毒）感染。
Sexually transmitted infections (STIs) disproportionately affect women and create a preventable threat to their fertility. One factor that contributes to young women's high rates of STIs is reinfection from an untreated sexual partner. One way to address this problem is through expedited partner therapy, the practice of treating the sexual partners of patients in whom STIs are diagnosed. Expedited partner therapy enables the obstetrician-gynecologist or other provider to give prescriptions or medications to patients to take to their partners without first examining these partners. Despite the effectiveness of expedited partner therapy, numerous legal, medical, practical, and administrative barriers hinder its routine use by obstetrician-gynecologists. The American College of Obstetricians and Gynecologists supports the use of expedited partner therapy as a method of preventing gonorrhea and chlamydial reinfection when a patient's partners are unable or unwilling to seek medical care. Expedited partner therapy should be accompanied by patient counseling and written treatment instructions for the patient's partner(s). Partners receiving expedited partner therapy should be encouraged to seek additional medical evaluation as soon as possible to discuss screening for other STIs, including human immunodeficiency virus (HIV) infection.