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June 2003, Vol 93, No. 6 | American Journal of Public Health 882-884
© 2003 American Public Health Association

FIELD ACTION REPORT

Field-Delivered Therapy Increases Treatment for Chlamydia and Gonorrhea

Katherine C. Steiner, MPH, Veronica Davila, BA, Charlotte K. Kent, MPH, Janice K. Chaw, MPH, Lyn Fischer, MPA and Jeffrey D. Klausner, MD, MPH

The authors are with the San Francisco Department of Public Health, STD Prevention and Control Services, San Francisco, Calif.

Correspondence: Requests for reprints should be sent to Katherine Steiner, MPH, 1360 Mission St, Suite 401, San Francisco, CA 94103 (e-mail: kate.steiner{at}sfdph.org).

In 1998, treatment completion was low among chlamydia and gonorrhea cases reported to the San Francisco Department of Public Health and assigned for treatment follow-up.

To improve treatment completion among growing numbers of chlamydia and gonorrhea cases, the department implemented field-delivered therapy (FDT), a single-dose, directly observed therapy protocol for uncomplicated chlamydial and gonococcal infections. After the protocol was implemented in March 1999, the proportion of cases completing treatment increased significantly, from 61.8% in 1998 to 81.0% in 2000. The greatest increases in treatment completion were observed for females and individuals younger than 20 years old.

FDT is an effective, feasible, and convenient way to reach and treat individuals who are unlikely to return for chlamydia and gonorrhea treatment.




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