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P736 Evaluation of the provincial infectious syphilis partner notification program in british columbia, canada

Sexually transmitted infections, 2019-07, Vol.95 (Suppl 1), p.A318 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. ;2019 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 1368-4973 ;EISSN: 1472-3263 ;DOI: 10.1136/sextrans-2019-sti.796

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  • Title:
    P736 Evaluation of the provincial infectious syphilis partner notification program in british columbia, canada
  • Author: Lukac, Christine ; Consolacion, Theodora ; Ryan, Venessa ; Cumming, Emma ; Ford, Geoffrey ; Ogilvie, Gina ; Gilbert, Mark ; Grennan, Troy ; Wong, Jason
  • Subjects: Health risk assessment ; Syphilis
  • Is Part Of: Sexually transmitted infections, 2019-07, Vol.95 (Suppl 1), p.A318
  • Description: BackgroundInfectious syphilis partner notification (PN) is centrally coordinated at the British Columbia (BC) Centre for Disease Control. Approaches include patient-initiated and provider-initiated PN, and outcomes include the proportion of partners (1) notified of possible exposure to syphilis, (2) tested and/or treated, and (3) diagnosed. Among gay, bisexual and other men who have sex with men (gbMSM) who have the greatest burden of syphilis, we evaluated PN outcomes between patient-initiated and provider-initiated PN.MethodsAll infectious syphilis diagnoses in 2016 in BC were included. Syphilis re-diagnosis was defined as a syphilis diagnosis in 2016 with at least one additional diagnosis in 2006–2016, while first-diagnosis was defined as a syphilis diagnosis in 2016 only. PN outcomes were calculated along a cascade-of-care framework, where the numerator is the denominator of the subsequent indicator. Chi-square tests compared PN outcomes of patient-initiated versus provider-initiated PN, within strata of gbMSM first-diagnosed and re-diagnosed.ResultsOf the 759 infectious syphilis cases in BC in 2016, 648 (85%) were among gbMSM, among whom 474 (73%) were first-diagnoses and 174 (27%) were re-diagnoses. A significantly greater proportion of gbMSM first-diagnosed chose patient-initiated PN compared to gbMSM re-diagnosed (62% vs 42%; P<0.01). Among gbMSM first-diagnosed, patient-initiated PN resulted in a greater proportion of partners notified compared to provider-initiated PN (177/199; 89% vs 426/603; 70%; P<0.001). There was no difference in the proportion of partners tested and/or treated, (156/177; 88% vs 380/426; 89%; P≥0.05), and diagnosed (24/156 15% vs 51/380 13%; P≥0.05). A similar trend in PN outcomes was observed among partners of gbMSM re-diagnosed.ConclusionPatient-initiated and provider-initiated PN had similar outcomes among partners of both gbMSM first-diagnosed and re-diagnosed. However, gbMSM first-diagnosed were more likely to choose to notify their own partners. These findings demonstrate that patient-initiated PN have similar outcomes to provider-initiated PN and can increase the overall capacity for PN.DisclosureNo significant relationships.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 1368-4973
    EISSN: 1472-3263
    DOI: 10.1136/sextrans-2019-sti.796
  • Source: AUTh Library subscriptions: ProQuest Central
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