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PDPT Webcast - Part 1 - Patient Deliver Partner Therapy 101

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A introduction to using Patient Delivered Partner Therapy for STD Treatment.

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PDPT Webcast - Part 1 - Patient Deliver Partner Therapy 101

  1. 1. Patient Delivered Partner Therapy (PDPT) 101What You Need to Know About PDPT advocate facilitate evaluate educate research
  2. 2. CFHC’s PDPT Trainings• This is Part 1 of a 3-part series on PDPT – Part 1: Background information about PDPT – Part 2: Using PDPT for Partner Management – Part 3: PDPT Law in California and CFHC PDPT Guidelines• For more information on PDPT:http:// www.cdph.ca.gov/pubsforms/Guidelines/Documents/CA-STD-PDPT-Guidelines-1- advocate facilitate evaluate educate research
  3. 3. The Basics of Chlamydia &Gonorrhea advocate facilitate evaluate educate research
  4. 4. Chlamydia and Gonorrhea: Persistent Threats to Women’s Health CT and GC are the most common reportable STDs in the United States  CT: Estimated 3 million cases annually, US  GC: Estimated 1 million cases annually, US advocate facilitate evaluate educate research
  5. 5. Risk of PID and AssociatedSequelae in Females Infertility Acute PIDUntreated genitalCT or GC Infection Ectopic Pregnancy Silent PID Chronic Pelvic Pain advocate facilitate evaluate educate research
  6. 6. California Screening Recommendations:Chlamydia and Gonorrhea in Women All sexually active females 25 years of age and younger annually Females 26 and older according to risk All pregnant females advocate facilitate evaluate educate research
  7. 7. Reinfection, Partner Managementand Retesting advocate facilitate evaluate educate research
  8. 8. The Importance of Partner Management  High rates of reinfection occur after an initial diagnosis and treatment  Many reinfections result from sex with a previous partner who did not receive treatment  Serious sequelae are more likely with repeat infection  2x odds of ectopic pregnancy*  4x odds of PID*Hillis et al 1997 advocate facilitate evaluate educate research
  9. 9. All Recent Partners Must ReceiveTreatment Treat ALL sexual partners from the 2 months prior to the positive test Provide a variety of options to allow client to customize her plan for getting each partner treated advocate facilitate evaluate educate research
  10. 10. Partner Management Options:Chlamydia and Gonorrhea Infections  Patient refers partner(s) for exam, test and treatment  Asking patient to bring partner to clinic (BYOP)  Expedited partner therapy (EPT)  Patient delivered partner therapy (PDPT)  Medication  Prescription  Pharmacy access programs  Local health department referral  Anonymous partner referral advocate facilitate evaluate educate research
  11. 11. What is Expedited Partner Therapy?CDC: Review and Guidance report, 2006“Expedited partner therapy (EPT) is the practice of treating the sex partners of persons with sexually transmitted diseases (STD) without an intervening medical evaluation or professional prevention counseling.”Most common method of EPT is Patient-Delivered Partner Therapy (PDPT). advocate facilitate evaluate educate research
  12. 12. CDC Supports EPT!“EPT should be available to clinicians as an option for partner management” When and how EPT is used will vary from site to site Does not replace other partner management strategies Along with medication, EPT should be accompanied by:  Educational materials  Information that advises recipients about how to seek personal health care in addition to EPT advocate facilitate evaluate educate research
  13. 13. What is PDPT? Patient delivered partner therapy (PDPT) is one form of EPT. PDPT involves providing the index client with the appropriate medication, information and educational materials for sexual partners exposed to the index client’s STI(s). PDPT is an alternative to traditional partner notification methods for testing and treatment of STIs. advocate facilitate evaluate educate research
  14. 14. PDPT and California Law Chlamydia trachomatis (since 2001) Neisseria gonorrhoeae (since 2007) Because optimal treatment of syphilis requires an injection, PDPT is not recommended for syphilis. advocate facilitate evaluate educate research
  15. 15. Antibiotics for PDPT Chlamydia: Azithromycin 1 gram orally once Gonorrhea: Cefixime 400mg orally once + Azithromycin 1 gram orally once advocate facilitate evaluate educate research
  16. 16. Retesting Client re-testing for chlamydia and gonorrhea at 3 months post-treatment is strongly recommended, regardless of whether the patient believes all of his/her partners have been treated. advocate facilitate evaluate educate research
  17. 17. Getting clients back in for retesting Counseling at treatment visit Written materials Advance appointments Traditional reminder systems (telephone and postcards) Text message and/or email reminders advocate facilitate evaluate educate research
  18. 18. Questions? For CFHC PDPT Program information, please contact: Aileen Barandas MSN, NP STD Programs Director barandasa@cfhc.org 510.486.0412 ext 2334 advocate facilitate evaluate educate research
  19. 19. Medical and scientific consultation for this webcast was provided by the CaliforniaDepartment of Public Health, STD Control Branch For more information, please visit www.std.ca.gov advocate facilitate evaluate educate research

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