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Patient-delivered therapy

Practice of treating the sex partners of people diagnosed with chlamydia or gonorrhea


Practice of treating the sex partners of people diagnosed with chlamydia or gonorrhea

FieldValue
namePatient-delivered therapy
synonymExpedited partner therapy (EPT)
specialty

Patient-delivered (partner) therapy (PDT or PDPT), is the practice of treating the sex partners of people diagnosed with chlamydia or gonorrhea by providing prescriptions or medications to the person to take to their partner without the health care provider first examining the partner. EPT may also include other forms of implementation than PDPT. TOC

Efficacy

PDPT works as an addition to the usual patient referral, the latter being that the index patient has a responsibility for informing sex partners of their exposure to a sexually transmitted infection.

Pitfalls include that PDT may compromise the quality of care provided to partners, especially when used as a first-line approach for partners who would otherwise seek clinical services. For instance, the medication could cause serious adverse reactions, including allergy, which could have been foreseen by a visit to a health care provider.

References

References

  1. [http://www.ama-assn.org/ama/no-index/about-ama/16410.shtml Report 7 of the Council on Science and Public Health (A-06) - Expedited Partner Therapy (Patient-delivered Partner Therapy): An Update] American Medical Association. Retrieved on Nov 22, 2009
  2. [https://www.cdc.gov/std/treatment/EPTFinalReport2006.pdf Expedited Partner Therapy in the Management of Sexually Transmitted Diseases (2 February 2006)] U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE. Centers for Disease Control and Prevention National Center for HIV, STD, and TB Prevention
  3. (February 2007). "Improved effectiveness of partner notification for patients with sexually transmitted infections: systematic review". BMJ.
  4. [http://www.cdph.ca.gov/pubsforms/Guidelines/Documents/CA-STD-PDPT-Guidelines.pdf Patient-Delivered Partner Therapy for Chlamydia trachomatis and Neisseria gonorrhoeae: Interim Guidance for Medical Providers in California] California Department of Public Health. Sexually Transmitted Diseases (STD) Control Branch, in collaboration with: California STD Controllers Association. June 2011
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