Proper clinical and public health treatment of patients withgonorrhea or chlamydial infection must include the treatmentof their sexual partners. Such partners are often asymptomaticand, unless treated, will reinfect the index patient or spreadinfection to others. A traditional approach has been to deploymembers of the health department field staff to notify exposedsex partners and bring them (at times literally) in for treatment.However, many health department resources are strained by theincreasing prevalence of human immunodeficiency virus (HIV)infection and emerging threats, such as bioterrorism. Giventhese challenges and staffing shortages, health departmentsin many . . . [Full Text of this Article]
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From the Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore.
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