Immediate access to antibiotics stems spread of sexually transmitte...( In an editorial to be published in The ...),Health

In an editorial to be published in The New England Journal of Medicine, researchers at Johns Hopkins offer their support for a study which shows that providing faster, more direct access to antibiotics for partners of newly infected patients reduces re-infection rates and spread of sexually transmitted diseases, such as gonorrhea and Chlamydia, compared to standard practice.

In the study, treatment was accelerated by providing packets of antibiotics or mailing medication directly to partners from the pharmacy, without first requiring examination of the partner by a physician. This "expedited treatment" resulted in 68 percent fewer re-infections with gonorrhea and 18 percent fewer re-infections with Chlamydia (or 24 percent, overall, when results for both diseases were combined), according to the study report, which appears in the same edition of the NEJM online Feb 17.

The expedited approach is controversial, say the Hopkins researchers, because most state laws, with the exception of California and Tennessee, do not allow distribution of antibiotics without a physician's examination.

"Traditional approaches to informing partners - in which the patients themselves must notify their sexual partners, who are then expected to seek medical evaluation and treatment - simply do not work well enough, as many patients fail to properly inform their partners, and many partners fail to seek treatment, which leads to re-infection," says lead editorial author and infectious disease specialist Emily Erbelding, M.D., M.P.H., an associate professor at The Johns Hopkins University School of Medicine. "These STDs are persistent in the United States - we are not making much headway in further reducing their overall incidence, and the standard approach to treating partners is one obstacle. Currently, fewer than 20 percent of local health departments in the United States offer assistance with notifying partners to patients with gonorrhea and Chlamydia, leaving
'"/>

Contact: David March
dmarch1@jhmi.edu
410-955-1534
Johns Hopkins Medical Institutions
16-Feb-2005

Page: 1 2 3
Related medicine news :

1. Immediate mammogram reading may decrease stress associated with abnormal results
2. Immediate treatment helps delay progression of glaucoma
3. Immediate cholesterol drop after heart attack guards against stroke
4. Improving access to healthy food has little effect on diet
5. Parents have complex opinions about notification laws for minors access to contraception
6. New rights to access, but for most transparency is still as clear as mud
7. OHSU researcher says FDA could broaden access to results of clinical drug trials
8. World AIDS day: US women with HIV lack access to health care
9. Capsule endoscopy aids in detection of small bowel tumors inaccessible to other diagnostic tests
10. Limiting angioplasty to experienced hospitals will not reduce access to care
11. Major radiology journal offers unrestricted access to recently archived articles