Field-Delivered Therapy Increases Treatment for Chlamydia and Gonorrhea

In 1998, treatment completion was low among chlamydia and gonorrhea cases reported to the San Francisco Department of Public Health and assigned for treatment follow-up. To improve treatment completion among growing numbers of chlamydia and gonorrhea cases, the department implemented field-delivered...

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Bibliographic Details
Published in:American journal of public health (1971) 2003-06, Vol.93 (6), p.882-884
Main Authors: Steiner, Katherine C, Davila, Veronica, Kent, Charlotte K, Chaw, Janice K, Fischer, Lyn, Klausner, Jeffrey D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anti-Bacterial Agents - administration & dosage
Antibacterial agents
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Asymptomatic
Biological and medical sciences
Child
Chlamydia
Chlamydia Infections - diagnosis
Chlamydia Infections - drug therapy
Chlamydia Infections - epidemiology
Chlamydia trachomatis
Clinical Protocols
Compliance
Consent
Departments
Directly observed therapy
Directly Observed Therapy - standards
Female
Field Action Report
Gonorrhea
Gonorrhea - diagnosis
Gonorrhea - drug therapy
Gonorrhea - epidemiology
Gonorrhoea
HIV
Human immunodeficiency virus
Humans
Infections
Male
Mass Screening
Medical sciences
Medical treatment
Outreach work
Patients
Pharmacology. Drug treatments
Public health
Public Health Administration
Risk Factors
San Francisco
San Francisco - epidemiology
Sexually transmitted diseases
STD
Treatment
United States - epidemiology
USA
Womens health
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Description
Summary:In 1998, treatment completion was low among chlamydia and gonorrhea cases reported to the San Francisco Department of Public Health and assigned for treatment follow-up. To improve treatment completion among growing numbers of chlamydia and gonorrhea cases, the department implemented field-delivered therapy (FDT), a single-dose, directly observed therapy protocol for uncomplicated chlamydial and gonococcal infections. After the protocol was implemented in March 1999, the proportion of cases completing treatment increased significantly, from 61.8% in 1998 to 81.0% in 2000. The greatest increases in treatment completion were observed for females and individuals younger than 20 years old. FDT is an effective, feasible, and convenient way to reach and treat individuals who are unlikely to return for chlamydia and gonorrhea treatment.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.93.6.882