title: Field-delivered therapy increases treatment for chlamydia and gonorrhea.
abstract: In 1998, treatment completion was low among chlamydia and gonorrhea cases reported to the San Francisco Department of Public Health and assigned for treatment follow-up. To improve treatment completion among growing numbers of chlamydia and gonorrhea cases, the department implemented field-delivered therapy (FDT), a single-dose, directly observed therapy protocol for uncomplicated chlamydial and gonococcal infections. After the protocol was implemented in March 1999, the proportion of cases completing treatment increased significantly, from 61.8% in 1998 to 81.0% in 2000. The greatest increases in treatment completion were observed for females and individuals younger than 20 years old. FDT is an effective, feasible, and convenient way to reach and treat individuals who are unlikely to return for chlamydia and gonorrhea treatment.
authors.affiliation: San Francisco Department of Public Health, STD Prevention and Control Services, CA, USA. kate.steiner@sfdph.org
authors.forename: Katherine C
authors.initials: KC
authors.lastname: Steiner
authors.forename: Veronica
authors.initials: V
authors.lastname: Davila
authors.forename: Charlotte K
authors.initials: CK
authors.lastname: Kent
authors.forename: Janice K
authors.initials: JK
authors.lastname: Chaw
authors.forename: Lyn
authors.initials: L
authors.lastname: Fischer
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Klausner
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002648:Child; D002690:Chlamydia Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D002985:Clinical Protocols; D023801:Directly Observed Therapy / Q000592:standards*; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D006801:Humans; D008297:Male; D008403:Mass Screening; D011635:Public Health Administration; D012307:Risk Factors; D012495:San Francisco / Q000453:epidemiology; D014481:United States / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents