Patient-Delivered Expedited Partner Therapy for Chlamydia trachomatis Infection Among Female Adolescents Using School-Based Health Centers

Vacca, Susan H.; Salsgiver, Elizabeth; Gold, Melanie A.; Neu, Natalie

doi:10.1016/j.pedhc.2018.11.008

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…Our overall patient acceptance rate of EPT was similar or higher than that in other studies 3,18–20 . The addition of literacy level-appropriate bilingual patient education, provider education, and pharmacy policy updates addressed issues previously identified as potential barriers to EPT uptake 7,21 .…”

Section: Discussionsupporting

confidence: 61%

“…Our overall patient acceptance rate of EPT was similar or higher than that in other studies. 3,[18][19][20] The addition of literacy level-appropriate bilingual patient education, provider education, and pharmacy policy updates addressed issues previously identified as potential barriers to EPT uptake. 7,21 The increase in EPT refusals from patients in the postintervention group was 8% (25/308) and could be because of an increased offering of EPT prompted by clinical decision support and institutional policy changes versus referring patients to an outside provider.…”

Section: Discussionmentioning

confidence: 99%

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Decreasing Chlamydial Reinfections in a Female Urban Population

Suarez¹,

Alvarez

Anderson³

et al. 2021

Sexual Trans Dis

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Decreasing Chlamydial Reinfections in a Female Urban Population

Suarez¹,

Alvarez

Anderson³

et al. 2021

Sexual Trans Dis

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“…20 In contrast, a study focusing on adolescents in a school-based health center in New York City, where patients were provided medications directly for their partner, reported a higher acceptance at 65%. 24 This difference in acceptance rates might be influenced by factors such as the convenience of receiving medications directly (patient-delivered partner treatment, or PDPT) versus obtaining a prescription for their partner, which could significantly impact uptake. A multijurisdictional evaluation of EPT provided to patients through a voucher found that only 41% were redeemed.…”

Section: Discussionmentioning

confidence: 99%

“…A 2021 study conducted at an Ohio AMC found that only 25% to 28% of patients who were offered EPT accepted a written prescription 20 . In contrast, a study focusing on adolescents in a school-based health center in New York City, where patients were provided medications directly for their partner, reported a higher acceptance at 65% 24 . This difference in acceptance rates might be influenced by factors such as the convenience of receiving medications directly (patient-delivered partner treatment, or PDPT) versus obtaining a prescription for their partner, which could significantly impact uptake.…”

Section: Discussionmentioning

confidence: 99%

Reducing Barriers for Expedited Partner Treatment in Adolescents and Young Adults: A Quality Improvement Initiative

Richards,

Bogart,

Sheeder

2024

Sexual Trans Dis

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Background Adolescents and young adults (AYA) face significant barriers to screening, testing and treatment for sexually transmitted infections (STIs). Expedited partner therapy (EPT) streamlines partner treatment for STIs but use among adolescents is low. We aimed to increase EPT offering and provision at two adolescent medicine clinics (AMC) and the emergency department (ED) in an urban children’s hospital. We addressed barriers at provider, pharmacy, and patient levels. We compared EPT offering and provision for chlamydia (CT) and trichomonas (TV) infection at baseline, and across two intervention cycles. Methods Baseline data was collected from 7/2019-3/2020 and our intervention time frame spanned from April 2020-October 2021. Laboratory codes identified patients with CT or TV infections. Cycle one allowed providers to order EPT within a patient’s chart. The second cycle targeted education and standardization for STI/EPT notification and counseling. During this cycle, notification of ED patients was centralized to the AMC nurses. Results A total of 747 CT and TV cases were identified. In the AMC, EPT offering increased from 77.3% to 87.7% (p = 0.01). EPT provision increased from 32.3% to 69.9% (p < 0.001). EPT offering for ED patients increased by 82.3%. Retesting rates remained consistent, with a significant drop in reinfection rates (p = 0.003) within patients seen in the AMC. Conclusions This QI initiative successfully increased EPT offering and provision among the cases identified. Future cycles may include longer-term follow up to confirm partner treatment and testing per guidelines.

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STIs in adolescents: Chlamydia, gonorrhea, mycoplasma genitalium, and HPV

Saldanha

2020

Current Problems in Pediatric and Adolescent Health Care

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Patient-Delivered Expedited Partner Therapy for Chlamydia trachomatis Infection Among Female Adolescents Using School-Based Health Centers

Cited by 6 publications

References 16 publications

Decreasing Chlamydial Reinfections in a Female Urban Population

Decreasing Chlamydial Reinfections in a Female Urban Population

Reducing Barriers for Expedited Partner Treatment in Adolescents and Young Adults: A Quality Improvement Initiative

STIs in adolescents: Chlamydia, gonorrhea, mycoplasma genitalium, and HPV

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