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Antimicrobial Resistance in Neisseria gonorrhoeae in …

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Partner packets were distributed to patients or their partners through commercial pharmacies, the PHSKC STD Clinic, or direct mailing. Packets for partners of patients with gonorrhea contained a single 400-mg dose of cefixime and 1-g sachet of azithromycin; packets for partners of patients with chlamydial infection contained only azithromycin. Packets also contained condoms; information about the medications, including a warning about adverse effects; instructions to telephone study staff members with questions or concerns; and a brochure about preventing sexually transmitted infections describing free care available at the STD clinic. Twelve commercial pharmacies, chosen to ensure wide geographic access to treatment, distributed partner packets. We called the pharmacies one week after medications were prescribed to determine whether the patients had obtained the packets; patients or partners who failed to pick up medication within one week were reminded to do so once by telephone. We gave packets directly to patients in the expedited-treatment group who were interviewed in person.

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