A Review of Expedited Partner Therapy for the Management of Sexually Transmitted Infections in Adolescents.
Adolescents are at high risk of acquiring and becoming reinfected with sexually transmitted infections. Partner notification and treatment are essential to preventing the spread of sexually transmitted infections. Expedited partner therapy (EPT) is a method of partner treatment used by medical providers to treat patients' sexual partners without direct medical evaluation or counseling. The objective of this article is to review the current literature regarding EPT effectiveness, patients' attitudes and acceptance of EPT, and providers' views and practices surrounding the use of this method of partner treatment. In this article potential concerns associated with EPT use, current policy statements, and the legal status of EPT are discussed. EPT results in improved or equivalent rates of reinfection in adolescents and adults with Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Overall, patients are accepting of this method of partner treatment, however, providers continue to have concerns that limit its routine use. Additional studies in adolescents will help providers better understand if EPT is a useful method to prevent reinfection in this population.
Nationwide Children's Hospital, Adolescent Medicine Division, Columbus, Ohio. Electronic address: kerry.gannon-loew@nationwidechildrens.org.
Kathryn E
KE
Gannon-Loew
Nationwide Children's Hospital, Adolescent Medicine Division, Columbus, Ohio; The Ohio State University, Columbus, Ohio.
Cynthia
C
Holland-Hall
Nationwide Children's Hospital, Adolescent Medicine Division, Columbus, Ohio; The Ohio State University, Columbus, Ohio.
Andrea E
AE
Bonny
D000293:Adolescent; D000328:Adult; D016358:Contact Tracing / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control / Q000628:therapy*
Adolescent; Expedited partner therapy; Patient-delivered partner therapy; Sexually transmitted infections