Expedited Partner Therapy to Combat Neisseria gonorrhoeae and Chlamydia trachomatis in Military Populations: Can We Apply This Best Practice?

Abstract:

:Expedited Partner Therapy (EPT) is the practice of treating the partners of patients with sexually transmitted infections by providing medications for the patient to deliver to his or her sexual partner (s) without direct clinical assessment of the partner(s). EPT is an evidence-based option that can augment existing partner management strategies. For military health care providers, questions still loom as to the pragmatic medical, legal, and ethical uncertainties of EPT use in military populations. These issues, in addition to the absence of an explicit Department of Defense EPT policy may dissuade military clinicians from fully employing EPT to prevent reinfection and inhibit additional disease transmission in their patients. To advance the notion that EPT could not only be an efficient but also a vital measure to decrease the high sexually transmitted disease burden, this report highlights existing approaches utilized by military providers to treat partners of patients diagnosed with chlamydia and/or gonorrhea, benefits of using EPT in military populations, and specific challenges of implementing an EPT program. This report asserts that now is the time to "push the conversation" on the use of EPT as a viable choice for military providers.

journal_name

Mil Med

journal_title

Military medicine

authors

Stidham RA,Garges EC,Knapp SA

doi

10.7205/MILMED-D-14-00590

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

876-81

issue

8

eissn

0026-4075

issn

1930-613X

journal_volume

180

pub_type

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