| 词条 | Patient-delivered therapy |
| 释义 |
| name = Patient-delivered therapy | synonym =Expedited partner therapy (EPT),[1] | image = | caption = | alt = | pronounce = | specialty = | synonyms = | ICD10 = | ICD9 = | ICD9unlinked = | CPT = | MeshID = | LOINC = | other_codes = | MedlinePlus = | eMedicine = }}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.[2] EPT may also include other forms of implementation than PDPT.[2] EfficacyPDPT 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.[4] PDPT significantly reduces the risk of persistent or recurrent infection compared with patient referral alone; a review found that addition of PDPT gives a relative risk of 0.73, with a 95% confidence interval of 0.57 to 0.93.[3] Pitfalls include that EPT 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.[4] See also
References1. ^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. ^1 [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. ^1 {{cite journal |vauthors=Trelle S, Shang A, Nartey L, Cassell JA, Low N |title=Improved effectiveness of partner notification for patients with sexually transmitted infections: systematic review |journal=BMJ |volume=334 |issue=7589 |pages=354 |date=February 2007 |pmid=17237298 |pmc=1801006 |doi=10.1136/bmj.39079.460741.7C |url=}} 4. ^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 1 : Sexually transmitted diseases and infections |
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