Effectiveness of patient delivered partner medication for preventing recurrent Chlamydia trachomatis.

Kissinger, Patricia; Brown, Raeford E.; Reed, Katherine; Salifou, J; Drake, Amy; Farley, Thomas A.; Martín, David H.

doi:10.1136/sti.74.5.331

Cited by 83 publications

(38 citation statements)

References 17 publications

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“…Provision of single dose medications for delivery to partners may reduce the incidence of subsequent infections and is well accepted by patients. 13 Routine post-treatment follow up visits-perhaps 3 or 4 months after treatment-to allow STI rescreening and counselling specifically designed to reduce behavioural relapse. Post-treatment rescreening is suggested in the 2002 STI treatment guidelines compiled by the US Centers for Disease Control and Prevention.…”

Section: Resultsmentioning

confidence: 99%

Post-treatment sexual and prevention behaviours of adolescents with sexually transmitted infections

Fortenberry

2002

Sexually Transmitted Infections

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Objective: To evaluate sexual behaviour (including abstinence), sex partner change, and condom use during the 3 month period following treatment for Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, or non-gonococcal urethritis. Methods: 251 14-21 year old participants (83% female; 83% African-American) diagnosed with gonorrhoea, chlamydia, trichomonas, or non-gonococcal urethritis or sexual contacts of infected partners. Participants were clients of a public sexually transmitted diseases clinic or primary care adolescent clinics. Data were collected by structured interview at treatment, 1 month post-treatment, and 3 months post-treatment. At each visit, participants were asked about coital frequency and condom use for each recent partner. At 1 month, participants were asked when coitus occurred following treatment. At each follow up visit, sex partners were compared to partners named at treatment and classified as "same partner(s)," "new partner(s)," or both "same and new partner(s)." Results: Post-treatment abstinence was reported by 26% and 19% for the 1 month and 3 month visits, respectively. Abstinence was associated with greater likelihood of infection at enrolment although abstainers reported fewer lifetime STI and fewer lifetime sex partners. A substantial proportion of participants reported additional sexual contact with a previous partner. The average proportion of condom protected coital events increased from about 45% at enrolment to 64% at 1 month and 58% at 3 months (p<0.05). Higher levels were sustained for the 3 months following treatment. Conclusions: Many adolescents adopt, at least temporarily, risk reduction behaviours such as abstinence or increased condom use. Sexual re-exposure to potentially untreated previous partners may increase risk of subsequent reinfection.T reatment of common sexually transmitted infections (STI) such as gonorrhoea, chlamydia, and trichomonas is a central element of public health STI control efforts. From an individual's perspective, treatment confirms susceptibility and translates STI risk into certainty. From a theoretical perspective, STI treatment is a salient occurrence likely to serve as an important "cue to action" for behaviours that could reduce risk of subsequent infection. A "cue to action" serves an important function in the initiation of health protective behaviours. 1The behavioural responses of adolescents to STI treatment are quite variable in form and efficacy. "Wishful thinking" is the most common response but adolescent girls with negative views about future STI acquisition use more positive coping strategies.2 The value and importance of sex itself may be questioned and accompanied by a period of sexual abstinence.3 An STI diagnosis raises questions about the source of infection ("Who gave me this STI?"), transmission ("Did I give an STI to someone else?"), as well as consideration of the implications of these questions for current and future relationships ("Has my partner been unfaithful?"). Some sexual relationships are disc...

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Section: Resultsmentioning

confidence: 99%

Post-treatment sexual and prevention behaviours of adolescents with sexually transmitted infections

Fortenberry

2002

Sexually Transmitted Infections

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“…Reviews indicate that referral of partners via trained public health staff is most effective in producing partners at clinics for examination and/or treatment, [3][4][5][6] but this method is generally too laborintensive to be applied to such common sexually transmitted infection (STI) 7 and may be particularly unacceptable to some ethnic groups. 8 The typical alternative is to ask infected patients to notify and refer their partners, a practice known as STI patient referral. Although a common approach, little is known about what factors are most closely associated with successful STI patient referral.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Partner Notification for C. trachomatis and N. gonorrhoeae: An Examination of Social Cognitive and Psychological Factors

Malka¹,

Augenbraun²,

Rubin³

et al. 2006

J Urban Health

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Efforts to control chlamydial and gonococcal infections include notifying eligible sexual partners of possible infection, primarily by asking the diagnosed patient to notify their partners. This approach, known as patient referral, is widely used but poorly understood. The current study examined psychosocial and cognitive factors associated with patient referral among an urban, minority sample of 168 participants recently diagnosed with Chlamydia trachomatis or Neisseria gonorrhoeae. At a followup interview 1-month from diagnosis, participants were more likely to have notified all eligible partners if they had greater intention to notify at baseline (OR = 3.72; 95% CI = 1.34, 10.30) and if they had only one partner at baseline (OR = 4.08; 95% CI = 1.61, 10.31). There were also gender differences as well as differences based on type of partner (i.e., regular, casual, one-time). The implications of these findings for the design of programs to promote patient referral for sexually transmitted infections are discussed.

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“…Such persons are also very likely to develop other complications of STIs such as ectopic pregnancy and infertility (3). The limiting of recurrent STI reduces the sexual transmission of HIV and the other STIs complications (2,3).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for recurrent sexually transmitted infections in Uganda

Nuwaha

2009

E Af Med Jrnl

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Objective: To identify predictors of recurrent sexually transmitted infections (STIs) Design: A cross-sectional interview survey. Setting: STD Clinic, Old Mulago Hospital, Kampala. Methods: Eligible patients answered questions about their socio-demographic situation; STI symptoms; sexual behaviour; sexual partner referral; health seeking behaviour and whether they had a recurrent infection or not. Bivariate and multivariate stepwise logistic regression models were used to identify independent predictors of recurrent STIs. Results: Fifty two (38%) out of 138 patients had recurrent STIs. On bivariate analysis the predictors of recurrent STIs were: being male; age ≥ 25 years; inability to read in English; presenting with genital itching; attributing source of symptoms to sexual partner; not being asked to refer sexual partners at previous treatment site; having more than five lifetime partners; knowing how to use a condom; ever using a condom; and using a condom at least once in the previous three months. On multivariate analysis, independent risk factors for recurrent infection were: age ≥ 25 years (

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Effectiveness of patient delivered partner medication for preventing recurrent Chlamydia trachomatis.

Cited by 83 publications

References 17 publications

Post-treatment sexual and prevention behaviours of adolescents with sexually transmitted infections

Post-treatment sexual and prevention behaviours of adolescents with sexually transmitted infections

Predictors of Partner Notification for C. trachomatis and N. gonorrhoeae: An Examination of Social Cognitive and Psychological Factors

Risk factors for recurrent sexually transmitted infections in Uganda

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