BACKGROUND AND OBJECTIVE: Treatment of sex partners is an essential part of sexually transmitted diseases (STD) control. This study examined the efficacy of contact tracing via patient self-referral in gonococcal and chlamydial cervicitis cases among adolescents, compared with the effectiveness of provider-referral. STUDY DESIGN: Adolescent females with culture-proven chlamydial or gonococcal cervicitis were the study subjects. This cohort study was done in an urban non-STD clinic setting. The subjects chose either provider-notification or self-notification method to inform their sex partner(s) in 2 months preceding the interview date. RESULTS: Two hundred and sixty-five eligible subjects (91% African-American, 9% white) were identified. One hundred and ninety-eight sex contacts were reported by 165 (62%) cases; no contact was elicited in the remaining 100 (38%). The follow-up data revealed that 129/198 (66%) contacts were informed: 63 contacts by 61 index cases, 54 contacts of 47 cases by the case manager, 9 by both methods, and 3 by unspecified means. History of treatment was obtained in 54 contacts, including 37% (23/63) of patient-notified contacts and 50% (27/54) of provider-notified contacts; these 54 contacts constituted 42% of informed contacts, or 27% of all named contacts. The mean number of sexual contacts treated per index case was 0.58 (27/47) for the provider-referral groups and 0.38 (23/61) for the self-referral groups. Successful contact tracing was documented in 19.3% (51/265) of all index cases, resulting in treatment of 54 contacts. CONCLUSION: This study demonstrates the need for more effective partner treatment strategies in adolescent STD cases.
BACKGROUND AND OBJECTIVE: Treatment of sex partners is an essential part of sexually transmitted diseases (STD) control. This study examined the efficacy of contact tracing via patient self-referral in gonococcal and chlamydial cervicitis cases among adolescents, compared with the effectiveness of provider-referral. STUDY DESIGN: Adolescent females with culture-proven chlamydial or gonococcal cervicitis were the study subjects. This cohort study was done in an urban non-STD clinic setting. The subjects chose either provider-notification or self-notification method to inform their sex partner(s) in 2 months preceding the interview date. RESULTS: Two hundred and sixty-five eligible subjects (91% African-American, 9% white) were identified. One hundred and ninety-eight sex contacts were reported by 165 (62%) cases; no contact was elicited in the remaining 100 (38%). The follow-up data revealed that 129/198 (66%) contacts were informed: 63 contacts by 61 index cases, 54 contacts of 47 cases by the case manager, 9 by both methods, and 3 by unspecified means. History of treatment was obtained in 54 contacts, including 37% (23/63) of patient-notified contacts and 50% (27/54) of provider-notified contacts; these 54 contacts constituted 42% of informed contacts, or 27% of all named contacts. The mean number of sexual contacts treated per index case was 0.58 (27/47) for the provider-referral groups and 0.38 (23/61) for the self-referral groups. Successful contact tracing was documented in 19.3% (51/265) of all index cases, resulting in treatment of 54 contacts. CONCLUSION: This study demonstrates the need for more effective partner treatment strategies in adolescent STD cases.
Authors: Laura A Skrip; Mosoka P Fallah; Stephen G Gaffney; Rami Yaari; Dan Yamin; Amit Huppert; Luke Bawo; Tolbert Nyenswah; Alison P Galvani Journal: Philos Trans R Soc Lond B Biol Sci Date: 2017-05-26 Impact factor: 6.237
Authors: Sharon R Sznitman; Michael P Carey; Peter A Vanable; Ralph J DiClemente; Larry K Brown; Robert F Valois; Michael Hennessy; Naomi Farber; Christie Rizzo; Angela Caliendo; Laura F Salazar; Bonita F Stanton; Daniel Romer Journal: J Adolesc Health Date: 2010-03-06 Impact factor: 5.012
Authors: Jennifer L Reed; Jill S Huppert; Gordon L Gillespie; Regina G Taylor; Carolyn K Holland; Evaline A Alessandrini; Jessica A Kahn Journal: Acad Emerg Med Date: 2014-12-24 Impact factor: 3.451
Authors: Gina M Secura; Fidel A Desir; Jennifer L Mullersman; Tessa Madden; Jenifer E Allsworth; Jeffrey F Peipert Journal: Sex Transm Dis Date: 2012-10 Impact factor: 2.830
Authors: Anna Buchsbaum; Maria F Gallo; Maura K Whiteman; Carrie Cwiak; Peggy Goedken; Joan Marie Kraft; Denise J Jamieson; Melissa Kottke Journal: Infect Dis Obstet Gynecol Date: 2014-12-25