title: 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.
authors.affiliation: Division of Epidemiology and Disease Surveillance, U.S. Army Public Health Command Region-South, 2899 Schofield Road, Fort Sam Houston, TX 78234.
authors.forename: Ralph A
authors.initials: RA
authors.lastname: Stidham
authors.affiliation: Division of Preventive Medicine, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910.
authors.forename: Eric C
authors.initials: EC
authors.lastname: Garges
authors.affiliation: Division of Health Promotion and Wellness, U.S. Army Public Health Command Region-South, 2899 Schofield Road, Fort Sam Houston, TX 78234.
authors.forename: Steven A
authors.initials: SA
authors.lastname: Knapp
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000517:prevention & control; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D016358:Contact Tracing / Q000379:methods*; D006069:Gonorrhea / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008889:Military Personnel; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D012747:Sexual Partners; D014481:United States / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents