The Expedited Partner Therapy Continuum: A Conceptual Framework to Guide Programmatic Efforts to Increase Partner Treatment

Sexually Transmitted Diseases
Julia A SchillingerMatthew R Golden

Abstract

Expedited partner therapy (EPT) is a partner treatment strategy wherein health care providers give patients antibiotics or a prescription to deliver to their sex partners as treatment, without an intervening medical evaluation. We used PubMed and the Cochrane database to systematically identify published articles about EPT after 2006 and randomized controlled trials before that date; we also sought conference abstracts and unpublished data from 2013 to 2014. We described key steps in a hypothetical "EPT continuum," beginning with diagnosis of Chlamydia trachomatis or Neisseria gonorrhoeae in a patient and ending with treatment for the patient's sex partner(s) with EPT. All reports were abstracted for a set of defined measures and related interventions. We reviewed 100 published articles, unpublished data reports, and conference abstracts; 42 met the inclusion criteria and provided measures of the following: provider uptake and offer of EPT, patient acceptance and receipt of EPT, patient delivery of EPT to sex partners, and partner receipt of EPT and treatment. Implementation phase, populations, settings, and methodologies varied across reports. Providers' uptake and offer of EPT are rate-limiting steps in the EPT continuum and ...Continue Reading

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Citations

Jan 13, 2017·Sexually Transmitted Diseases·Patricia J Kissinger
Feb 22, 2018·Sexually Transmitted Diseases·Julia A Schillinger
Feb 12, 2019·Obstetrics and Gynecology·Cornelius D JamisonOkeoma Mmeje
Jan 19, 2019·Sexually Transmitted Diseases·Christina A MuznyPatricia Kissinger
Jan 15, 2020·Sexually Transmitted Diseases·Michelle Carman-McClanahan, Megan McCool-Myers
Oct 24, 2019·Sexually Transmitted Diseases·Kevin M WeissSamuel M Jenness
Aug 16, 2019·Journal of Public Health Management and Practice : JPHMP·Megan McCool-MyersMelissa J Kottke
Sep 13, 2018·American Journal of Public Health·Cornelius D JamisonOkeoma Mmeje
Oct 5, 2019·F1000Research·Olivia T Van Gerwen, Christina A Muzny
Aug 28, 2019·Current Infectious Disease Reports·Sarah J WillisMichael Klompas
Jun 3, 2021·Sexually Transmitted Diseases·Tracy NelsonDonna Johnson

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