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Pharmacy 2018, 6(1), 17; https://doi.org/10.3390/pharmacy6010017

Barriers and Facilitators of Partner Treatment of Chlamydia: A Qualitative Investigation with Prescribers and Community Pharmacists

Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth 6009, Australia
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Received: 11 December 2017 / Revised: 2 February 2018 / Accepted: 5 February 2018 / Published: 8 February 2018
(This article belongs to the Special Issue Qualitative Methods in Pharmacy Research)
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Abstract

Chlamydia trachomatis is the most frequently-notified sexually transmitted infection in Australia. Effective and timely partner treatment of chlamydia is essential to reduce overall prevalence and the burden of infection. Currently in most of Australia, the only avenue for partner treatment of chlamydia (“standard partner therapy”) is a tedious, and often inconvenient, process. The barriers and facilitators of standard partner therapy, and newer models of accelerated partner therapy (APT), need to be identified in the Australian setting. Additionally, the potential role of community pharmacists need to be explored. Semi-structured interview guides for two key stakeholder groups (prescribers and pharmacists) were developed and piloted. Eleven prescribers (general practitioners, sexual health clinicians and nurse practitioners) and twelve pharmacists practicing in the Perth metropolitan region were interviewed. Key reported barriers to standard partner therapy were lack of or delayed chlamydia testing. Key facilitators included ability to test and educate sexual partner. Key barriers for APT included prescribers’ legal responsibility and potential for medication-related adverse effects. Healthcare provider consultation and chlamydia testing were seen as potential facilitators of APT. Pharmacists were receptive to the idea of expanding their role in chlamydia treatment, however, barriers to privacy must be overcome in order to be acceptable to prescribers and pharmacists. View Full-Text
Keywords: chlamydia; pharmacy; pharmacist; contact tracing; partner therapy; accelerated partner therapy; expedited partner therapy; patient-delivered partner therapy; barrier; facilitator chlamydia; pharmacy; pharmacist; contact tracing; partner therapy; accelerated partner therapy; expedited partner therapy; patient-delivered partner therapy; barrier; facilitator
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Wood, H.; Hall, C.; Ioppolo, E.; Ioppolo, R.; Scacchia, E.; Clifford, R.; Gudka, S. Barriers and Facilitators of Partner Treatment of Chlamydia: A Qualitative Investigation with Prescribers and Community Pharmacists. Pharmacy 2018, 6, 17.

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