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Patient-delivered partner treatment for Trichomonas vaginalis infection:
A randomized controlled trial.
Sexually Transmitted Diseases 2006;33:445-450.
Kissinger P, Schmidt N, Mohammed H, Leichliter JS, Gift TL, Meadors
B, Sanders C, Farley TA.
Abstract
OBJECTIVES: Infections with Trichomonas vaginalis (TV) are common and recurrence
rates are high. Better methods of treating partners of women with trichomoniasis
are needed. GOAL: To determine if patient-delivered partner treatment (PDPT)
is better and more cost-effective than partner referral. STUDY DESIGN: Women
attending a family planning clinic who were culture-positive and treated
for TV (N = 463) were randomized to either standard partner referral (PR),
booklet-enhanced partner referral (BEPR), or PDPT. At baseline and 1 month,
women were interviewed and cultured for TV. Detailed cost information was
also collected. RESULTS: Most women had 1 partner, were less than 24 years
old, and were black. The percentage of women reporting that their partners
were treated was similar for PDPT but significantly lower for BEPR compared
to PR. TV follow-up rates were similar. PDPT cost less and was cost saving
compared to PR and BEPR. CONCLUSION: Among women with TV, PDPT did not result
in more partners taking the medicine or lower follow-up rates than PR but
was less costly.