Impact of expedited partner therapy (EPT) implementation on chlamydia incidence in the USA

Sexually Transmitted Infections
Okeoma MmejeJason Bell

Abstract

The diagnosis and treatment of Chlamydia trachomatis infection is important in preventing persistent or recurrent infection. Expedited partner therapy (EPT) is the favoured and supported method for STI treatment of the Centers for Disease Control and Prevention when the provider cannot be assured that all recent sexual partner(s) will seek therapy. EPT is legally permissible in 38 states and is endorsed by healthcare organisations to decrease the rates of chlamydia and gonorrhoea infection. Our study investigated the impact of EPT legal status (permissible, potentially allowable or prohibited) on C. trachomatis infection rates for each state. Our ecological study modelled the number of reported chlamydia cases from 2000 to 2013 as a function of year, legal status and the interaction between year and legality. We used a negative binomial regression model that included state fixed effects (including the District of Columbia) to account for both the repeated measures per state and state-specific characteristics that could not be measured for inclusion in this study. The lagged number of C. trachomatis cases was included as a covariate and each state's total population for a given year was included in the model as an exposure param...Continue Reading

References

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Citations

Feb 12, 2019·Obstetrics and Gynecology·Cornelius D JamisonOkeoma Mmeje
Jul 13, 2019·Sexually Transmitted Diseases·Sheila Vaidya Nemeth, Julia A Schillinger
Sep 13, 2018·American Journal of Public Health·Cornelius D JamisonOkeoma Mmeje
Dec 22, 2020·American Journal of Obstetrics & Gynecology MFM·Jodie Dionne-OdomJeanne Marrazzo
Jun 3, 2021·Sexually Transmitted Diseases·Tracy NelsonDonna Johnson
Aug 19, 2021·Sexually Transmitted Diseases·Charles StoeckerPatricia J Kissinger

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