Innovations in sexually transmitted disease partner services.

Recent increases in reported cases of several sexually transmitted diseases (STDs) speak to the urgent need for innovative methods of control and prevention, including improved partner notification. We review interviewing techniques and targeted geographic implementation, enhanced counseling for patient referral, and social network innovations. We also discuss expedited partner therapy: the provision of medications or prescriptions for sex partners who can then be treated prior to a clinical examination. Though the legality of this practice varies from state to state, a growing number of studies have shown its effectiveness, and local jurisdictions are encouraged to consider its feasibility. Another innovative method is use of the Internet to locate sex partners, reflecting trends in how people meet sex partners, and use of the same "venue" for treatment and prevention. We conclude with discussion of newly released recommendations for integrated HIV and STD partner services.