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Area of Science:

  • Public Health
  • Infectious Diseases
  • Pediatrics

Background:

  • Expedited partner therapy (EPT) is a strategy for treating sexually transmitted infections (STIs) by allowing prescriptions for partners without prior medical evaluation.
  • The Centers for Disease Control (CDC) recommends EPT to improve partner treatment rates, especially for gonorrhea and chlamydia.
  • Ohio legislation authorized EPT in 2016, enabling its implementation in healthcare settings.

Purpose of the Study:

  • To describe the implementation process of EPT in a pediatric emergency department.
  • To report on the descriptive outcomes of EPT adoption and utilization.
  • To evaluate the role of electronic health records in facilitating EPT.

Main Methods:

  • Retrospective review of EPT utilization from January 1, 2017, to December 31, 2021.
  • Analysis of electronic health records for demographic data and intervention uptake.
  • Statistical analysis using Fisher exact tests for categorical variables and two-sample t-tests for continuous variables.

Main Results:

  • A total of 3275 positive STI tests resulted in 739 EPT prescriptions.
  • Adolescent patients receiving EPT were more likely to be female (78.7%) and older (average age 17.7 years).
  • The percentage of positive STI tests linked to an EPT prescription ranged from 11.4% to 18.2%, with metronidazole being the most prescribed medication.

Conclusions:

  • Electronic health records provide a viable platform for implementing EPT.
  • EPT prescribing in the emergency department setting is a potential strategy to increase STI treatment.
  • This approach can help improve STI management and reduce transmission rates in pediatric populations.