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Cited by 51Reproductive tract infections researchHIV/AIDS Research and InterventionsSyphilis Diagnosis and Treatment

Concurrent sexually transmitted infections (STIs) in sex partners of patients with selected STIs: implications for patient-delivered partner therapy.

Stekler, J., Bachmann, L., Brotman, R. M., Erbelding, E. J., Lloyd, L. V., Rietmeijer, C. A., Handsfield, H. H., Holmes, K. K. +1 more·2005·Clinical Infectious Diseases
DOI 10.1086/428043
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Abstract

BACKGROUND: Patient-delivered partner therapy (PDPT) is the practice of providing disease-specific antimicrobial agents to patients for delivery to their sex partners. Some partners who receive PDPT may forgo clinical evaluation, resulting in missed opportunities for the diagnosis and treatment of comorbid conditions. METHODS: We conducted a review of electronic charts for 8623 individuals attending 4 sexually transmitted disease clinics who were sex partners of patients with selected sexually transmitted infections (STIs). We evaluated the concordance between STIs diagnosed in partners and their reported exposures for which they might have received PDPT. RESULTS: Among 3503 female and 4647 heterosexual male partners, 19 (0.4%) of 4716 individuals tested were newly diagnosed with human immunodeficiency virus (HIV) infection, and 61 individuals (0.7%) had syphilis. Pelvic inflammatory disease was diagnosed in 133 women (3.8%). Seventy-two (3.2%) of 2226 female and heterosexual male partners reporting exposure to patients with chlamydial infection had gonorrhea diagnosed. Chlamydial infection or gonorrhea was diagnosed in 81 heterosexual male partners (10.3%) who reported contact with women with trichomoniasis. Among 473 men who have sex with men (MSM; including bisexual men), 13 (6.3%) of 207 tested were newly diagnosed with HIV infection, and 8 (1.7%) had syphilis. Six (6.1%) of 98 MSM reporting exposure to patients with chlamydial infection had gonorrhea diagnosed. CONCLUSIONS: Infrequent coinfections in female and heterosexual male partners exposed to patients with chlamydial infection or gonorrhea would not preclude use of PDPT. However, PDPT for male partners of women with trichomoniasis and for MSM requires further study.

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  • Studies have reported that 5% of MSM have a new diagnosis of HIV when evaluated as partners of men with gonococcal or chlamydial infections; however, more recent data indicate that, in certain settings, the frequency of HIV infection is much lower.

    “Studies have reported that 5% of MSM have a new diagnosis of HIV when evaluated as partners of men with gonococcal or chlamydial infections (133,134); however, more recent data indicate that, in certain settings, the frequency of HIV infection is much lower (135).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [133]

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  • Published studies, including recent data regarding extragenital testing, indicated that male partners of MSM with diagnosed gonorrhea or chlamydia might have other bacterial STIs (gonorrhea or syphilis) or HIV.

    “Published studies, including recent data regarding extragenital testing, indicated that male partners of MSM with diagnosed gonorrhea or chlamydia might have other bacterial STIs (gonorrhea or syphilis) or HIV (133–135).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [133]

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Research works printed but not linked: 2

  1. Golden MR, Whittington WLH, Handsfield HH, et al. Impact of ex- pedited sex partner treatment on recurrent or persistent gonorrhea or chlamydial infection: a randomized controlled trial. N Engl J Med 2005; 352:676-85.
  2. Centers for Disease Control and Prevention. Sexually transmitted dis- ease surveillance 2002 supplement: Gonococcal Isolate Surveillance Project (GISP) annual report 2002. Atlanta: US Department of Health and Human Services, 2003. Downloaded from https://academic.oup.com/cid/article/40/6/787/345941 by guest on 20 November 2023

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Authors
Stekler, J., Bachmann, L., Brotman, R. M., Erbelding, E. J., Lloyd, L. V., Rietmeijer, C. A., Handsfield, H. H., Holmes, K. K., & Golden, M. R.
Affiliations
  • University of Washington (US)
  • University of Alabama at Birmingham (US)
  • Johns Hopkins University (US)
  • Denver Public Health (US)
  • Public Health – Seattle & King County (US)
Corresponding author
Golden, M. R.
ORCID
Venue
Clinical Infectious Diseases
Publisher
Oxford University Press (OUP)
Published
2005-03-15
Volume
40
Issue
6
Pages
787-793
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
DOI
10.1086/428043
OpenAlex
W1993909533
Cited by
51
References
21
Citations by year
2026: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 1
FWCI
5.02
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Allergy and Infectious Diseases (K23AI001846, T32 AI 07140-26, K23-AI01846, T32AI007140)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Physiology › Syphilis Diagnosis and Treatment
Keywords
patient-delivered partner therapy, sexually transmitted infections, co-infection, HIV, syphilis, chlamydia, gonorrhea, trichomoniasis, pelvic inflammatory disease, men who have sex with men, female partners, missed opportunities for diagnosis
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Anti-Infective Agents, Female, Humans, Male, Middle Aged, Patient Compliance, Sexual Partners, Sexually Transmitted Diseases, Contact Tracing

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