Document Detail

Sexual contact tracing outcome in adolescent chlamydial and gonococcal cervicitis cases.
MedLine Citation:
PMID:  8750422     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVE: Treatment of sex partners is an essential part of sexually transmitted diseases (STD) control. This study examined the efficacy of contact tracing via patient self-referral in gonococcal and chlamydial cervicitis cases among adolescents, compared with the effectiveness of provider-referral. STUDY DESIGN: Adolescent females with culture-proven chlamydial or gonococcal cervicitis were the study subjects. This cohort study was done in an urban non-STD clinic setting. The subjects chose either provider-notification or self-notification method to inform their sex partner(s) in 2 months preceding the interview date. RESULTS: Two hundred and sixty-five eligible subjects (91% African-American, 9% white) were identified. One hundred and ninety-eight sex contacts were reported by 165 (62%) cases; no contact was elicited in the remaining 100 (38%). The follow-up data revealed that 129/198 (66%) contacts were informed: 63 contacts by 61 index cases, 54 contacts of 47 cases by the case manager, 9 by both methods, and 3 by unspecified means. History of treatment was obtained in 54 contacts, including 37% (23/63) of patient-notified contacts and 50% (27/54) of provider-notified contacts; these 54 contacts constituted 42% of informed contacts, or 27% of all named contacts. The mean number of sexual contacts treated per index case was 0.58 (27/47) for the provider-referral groups and 0.38 (23/61) for the self-referral groups. Successful contact tracing was documented in 19.3% (51/265) of all index cases, resulting in treatment of 54 contacts. CONCLUSION: This study demonstrates the need for more effective partner treatment strategies in adolescent STD cases.
M K Oh; J R Boker; F J Genuardi; G A Cloud; J Reynolds; J B Hodgens
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  18     ISSN:  1054-139X     ISO Abbreviation:  J Adolesc Health     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-11-08     Completed Date:  1996-11-08     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  4-9     Citation Subset:  IM    
Comprehensive Cancer Center, University of Alabama School of Medicine at Birmingham, 35294, USA.
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MeSH Terms
Alabama / epidemiology
Chi-Square Distribution
Chlamydia Infections / epidemiology*
Chlamydia trachomatis*
Contact Tracing* / methods,  statistics & numerical data
Gonorrhea / epidemiology*
Urban Population / statistics & numerical data
Uterine Cervicitis / epidemiology*
Grant Support
R30/CCR405030//PHS HHS

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