ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Patient delivered partner therapy for STIs: the current state of play in Australia
Most studies from United States.
Traditional patient referral - patient tells partner go to the doctor, you may have an STI.
Assisted patient referral - patient uses some aid e.g. fact sheet, online notification websites.
Patient Delivered Partner Therapy (PDPT) - strong evidence that this was better than traditional patient referral, but no better than other assisted patient referral.
Considered safe - no episodes of anaphylaxis or major events.
Decreased the incidence of chlamydia and gonorrhoea in a US state by about 10%.
Some studies gave the medication, others provided a prescription for it to the pharmacist.
The prescription was taken up as readily as the direct supply of medication in studies.
Fewer than half of pharmacists knew PDPT was legal. Pharmacists may need training.
In Australia it was thought that PDPT could be used to obtain medication to disguise child abuse.
Consultations are underway to use a phone number on a prescription rather than the traditional patient address to facilitate PDPT prescriptions in some states.
How do we get this into primary care and get GPs to adopt it?