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However, partners who are put at continuing risk of exposure to a serious STI such as HIV may be informed of their risk, without the patient's consent if necessary, to protect them from becoming infected. The decision to breach patient confidentiality must be taken in line with professional guidance on disclosure. Mathematical models suggest that improving partner notification could be highly cost-effective in terms of cost per infection diagnosed when compared with expanding coverage of screening, for example.

Innovative uses for communications technologies, including web-based notification systems, have the potential to reach partners who are increasingly being met through the internet. New diagnostic methods mean that self-taken samples and even self-tests are likely to be another tool in the management of partners. As with all use of these new technologies, it is important to remember that contact with healthcare workers remains important for many people in order to initiate notification of additional partners, to detect co-morbidities and to provide expert advice and support.

Read article at publisher's site DOI : Sex Transm Dis , 47 7 , 01 Jul Sex Transm Dis , 20 May Cited by: 0 articles PMID: Free to read. J Prim Health Care , 10 2 , 01 Jun Cited by: 1 article PMID: To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation. Review Free to read. Health Technol Assess , 18 2 , vii-viii, 01 Jan Cited by: 24 articles PMID: Health Technol Assess , 19 5 , vii-viii, 01 Jan Cited by: 3 articles PMID: Sex Transm Dis , 22 4 , 01 Jul Cited by: 13 articles PMID: Health Policy Plan , 29 1 , 15 Jan Coronavirus: Find the latest articles and preprints.

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Rights and responsibilities Does it work? Competing interests: none declared. Ward H 1 ,. Search articles by 'Gill Bell'. Bell G 1. Affiliations 2 authors 1.

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PMID: Helen Ward and Gill Bell. Author information Copyright and License information Disclaimer. All rights reserved. This article has been cited by other articles in PMC. Go to:. What's new? Table 1 Definitions. Patient referral The index case is responsible for notifying their sexual partner s and referring them to a clinic. Simple patient referral A health professional advises the index case that their sexual partners need to be treated and explains how to do it.

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Enhanced patient referral EPR Simple patient referral plus one or more of: written information about the infection to be given to partners, use of a website, sampling kits for index cases to give to partners. Accelerated partner therapy APT Sexual partners are offered access to antibiotic treatment through a telephone consultation with a clinician or pharmacist to assess eligibility for treatment, without requiring a face-to-face consultation. This is a modification of expedited partner therapy see below that complies with UK prescribing regulations.

Expedited partner therapy EPT Index patients are provided with antibiotics or a prescription to give to their sexual partners without the need for a consultation with a health professional. Provider referral A health adviser notifies the partner of their possible exposure without identifying the index patient. Contract referral The index case agrees to notify partners within a specified time period, and if this is not done the health adviser will proceed to provider referral. Open in a separate window. Provider referral In this option, a healthcare worker informs the partner confidentially, without disclosing the patient's identity.

Contract or conditional referral In this option, the patient has an agreed period of time to refer the partner for care before the healthcare worker makes contact directly. Practice points. Apoola A. Uk The woman had a rare condition which resulted in her bladder vagina and rectum not separating normally during early developmental stages. Porn quality Parents convicted for spanking teen daughter Judge de Walle said he was troubled by the father's denial of the girl's bruising. Video embedded Watch Spanking and anal fun on Redtube home of free Anal porn videos online.

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