Navigation Links
Study suggests gap in treatment of sexually transmitted diseases among teens
Date:9/16/2012

STANFORD, Calif. - California's pediatricians-in-training are not adequately educated about the methods to prevent recurrent sexually transmitted infections in teenagers. That's the conclusion of a study from the Stanford University School of Medicine and Lucile Packard Children's Hospital examining pediatric residents' knowledge of laws governing treatment of their patients' sexual partners.

"Unless you treat the partner, your patient gets re-infected," Neville Golden, MD, an adolescent medicine specialist at Packard Children's and professor of pediatrics at Stanford. "We call this the 'ping-pong effect.'"

Indeed, even after receiving antibiotics to clear their infections, 40 percent of teenage gonorrhea and chlamydia patients are diagnosed with a second bout of the same illness within a year. About half of all sexually transmitted infections in this country occur in teenagers.

Golden is the senior author of a study to be published Sept. 17 in Pediatrics that examines whether California pediatric residents - new physicians receiving specialty training in pediatric medicine - know about expedited partner therapy, which helps doctors stop sexually transmitted diseases from bouncing back and forth within a couple. About half of pediatric residents had never used the practice, in spite of the fact that most had diagnosed STDs among their patients, the study found. Knowledge of expedited partner therapy was better in physicians enrolled in the state's three residency programs that offer fellowships in adolescent medicine.

Expedited partner therapy laws, which were introduced in California in 2001 and have since been adopted in 30 other states, allow physicians to prescribe antibiotics to the sexual partners of gonorrhea or chlamydia patients without seeing the partner. Prior to 2001, laws authorized state health departments to contact sexual partners of people diagnosed with these infections and to test and treat the partners. However, most health departments lack the resources to offer this service widely. Expedited partner therapy has been shown to be an effective alternative, especially in cases where the patient says his or her partner is unlikely to visit a doctor.

The study focused on 289 pediatric resident physicians enrolled in 14 of California's 17 pediatric residency programs. The pediatricians-in-training answered a questionnaire about their use of expedited partner therapy, their familiarity with EPT laws and their comfort with using the approach. Although 83 percent of those surveyed had diagnosed an STD, only 52 percent had used EPT. A large percentage of the physicians questioned - nearly 70 percent - knew that California law allows EPT for chlamydia and gonorrhea treatment, but many inaccurately believed the policy also applied to other STDs. In addition, 87 percent of residents said that their lack of familiarity with EPT laws was a barrier to their use of the approach; only 24 percent said they had ever been taught about EPT; and residents who were further along in their training did not have better knowledge of EPT, suggesting a significant opportunity for increased instruction on the subject.

The results suggest that the lack of familiarity with EPT extends beyond residents to more experienced pediatricians, the research team said. "You learn from your mentors," said Anne Hsii, MD, the study's first author. "It may be that many of our pediatrician mentors don't know about these laws." Hsii was an adolescent medicine fellow at Stanford when the study was conducted and is now a pediatrician at two outpatient clinics associated with Chinese Hospital in San Francisco. The findings underscore the need for a more systematic approach to incorporating EPT information into pediatricians' training, Hsii said.

Golden noted that the best way for adolescents to deal with STDs is to avoid getting them in the first place. He encouraged parents of teenagers to talk to their kids about sexual health. "If parents can speak to their children about protecting against sexually transmitted infections, that's very useful," he said. "Obviously, using protection such as condoms is the best way to prevent these infections."

But regardless of whether parents weigh in, it's the responsibility of pediatricians to broach the subject with teens, and parents should ensure that their adolescent children have time to have confidential conversations with their pediatricians, without mom or dad present.

"The best person other than a parent for teens to talk to about these issues is the pediatrician," Golden said.

Paula Hillard, MD, a professor of obstetrics and gynecology at Stanford; and Sophia Yen, MD, a clinical assistant professor of pediatrics at Stanford and an adolescent medicine specialist at Packard Children's Hospital, also collaborated with Golden and Hsii on the research. The study received no external funding.


'/>"/>
Contact: Erin Digitale
digitale@stanford.edu
650-724-9175
Stanford University Medical Center
Source:Eurekalert

Related medicine news :

1. Biggest European health study identifies key priorities in 26 cities
2. At-Home Moms Cook, Shop, Play More With Kids: Study
3. Study shows breath analysis could help diagnose pulmonary nodules
4. Pain From Sexual Assault Often Untreated, Study Says
5. UMass Amherst sleep researchers study value of preschool naps
6. $8.9 million NIH grant to study genomic link to premature heart disease
7. Quitting Smoking Just as Hard for Teens: Study
8. Study: Gingko biloba does not improve cognition in MS patients
9. Water quality study shows need for testing at state migrant camps
10. Healthy outlook leads to a healthy lifestyle: study
11. Cancer Survivors Prefer to Stay With Cancer Doctors: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... The law firm of Morrow, Morrow, ... The purpose of these scholarships is to encourage applicants to pursue a degree ... employment within these two parishes. , “We have available jobs in St. Landry ...
(Date:2/12/2016)... VA (PRWEB) , ... February 12, 2016 , ... CDRH Enforcement Trends: , Back to ... , As Winston Churchill said, “Those who don’t learn from history ... show what to expect when they come knocking this year. But that takes time. ...
(Date:2/12/2016)... Angeles, CA (PRWEB) , ... February 12, 2016 , ... ... With a hectic schedule, a demanding job, and no time to decompress, Rabinowitz found ... she dedicated herself to meditation for its impact on her life, implementing a 20-minute-per-day ...
(Date:2/12/2016)... Appleton, Wis. (PRWEB) , ... February 12, 2016 ... ... its second Lean Leadership Series at Zuckerberg San Francisco General Hospital on April ... to practice new behaviors and create new habits. The workshops cover a broad ...
(Date:2/12/2016)... ... February 12, 2016 , ... Fisher House Foundation Chairman ... John J. Lee, Nevada Military Support Alliance president Scott Bensing, and Peggy Kearns Director, ... VA Southern Nevada Healthcare System. This will be the first Fisher House in ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... N.J. , Feb. 12, 2016  Innophos Holdings, Inc. ... and nutritional specialty ingredients, today announced that it will host ... 10:00 am ET to discuss its fourth quarter and full ... --> The press release detailing fourth quarter and full ... after market close. --> ...
(Date:2/12/2016)... 2016 (Kanadische ... http://www.sedar.com ) und der Website ... --> http://www.sedar.com ) und ... abrufbar.    --> Telesta ... Konzernabschluss des zweiten Quartals und die ...
(Date:2/12/2016)... JOSE, Calif. , Feb. 12, 2016  SI-BONE, Inc., a ... System ® ("iFuse"), a minimally invasive surgical (MIS) device indicated ... that National Government Services, Inc. (NGS), the Medicare Administrative Contractor (MAC) ... Illinois , Maine , Massachusetts ... , New York , Rhode ...
Breaking Medicine Technology: