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* Toggle High Contrast * Toggle Font size * Home * Contact Tracing * Introduction * General Principles * Steps in Contact Tracing * Timing the Discussion * Ways of Notifying Contacts * Internet-based Contact Tracing (using Social Media) * How Far Back to Trace * Deciding on which STIs to Prioritise for Contact Tracing * Patient-delivered Partner Therapy * Conditions * When contact tracing is recommended * CHANCROID * CHLAMYDIA * DONOVANOSIS * GONORRHOEA * HEPATITIS A * HEPATITIS B * HEPATITIS C * HIV * LYMPHOGRANULOMA VENEREUM (LGV) * MYCOPLASMA GENITALIUM * SYPHILIS * TRICHOMONIASIS * When contact tracing should be considered * ECTOPARASITES * EPIDIDYMO-ORCHITIS * PELVIC INFLAMMATORY DISEASE (PID) * When contact tracing is not recommended * Specific Populations * People living with HIV * Male diverse sexuality – (Gay, Bisexual and other Men-who-have-sex-with-men – (GBMSM)) * People who use drugs * People from culturally and linguistically diverse backgrounds * Aboriginal and Torres Strait Islander Peoples Contact Tracing Context * Sex workers and their clients * People in custodial settings * People with no apparent risk factors * Children * Where violence is a concern * Case Studies * Introduction to Case Studies * Confidentiality in Practice – Lisa * Confidentiality & Privacy – Troy * Partner Notification using Provider Referral – Wayne * Example of Partner Notification – Judy * Example of Partner Notification – Jason * Partner Notification – Alan * Example Partner Notification – Jessica * Privacy & Laws * Australian Privacy, Confidentiality and Public Health Law * Why are privacy and confidentiality important? * Australian privacy laws * Collecting information * Security/storage of health information * Accessing personal records * Disclosure of information * Duty of care to a sexual partner * Failure to follow-up positive test results * Counselling obligations and duty of care to a sexual partner * My Health Record * Resource List * Useful Resources and Websites * References and Further Reading * About * Acknowledgements * Feedback * Bookmarks * Contact Us -------------------------------------------------------------------------------- AUSTRALASIAN CONTACT -------------------------------------------------------------------------------- TRACING GUIDELINES 2022 -------------------------------------------------------------------------------- Learn More INTRODUCTION TO THE AUSTRALASIAN CONTACT TRACING GUIDELINES -------------------------------------------------------------------------------- When patients are diagnosed with a treatable sexually transmissible infection it is vital that testing and treatment of their sexual partners is properly considered, discussed and supported by the diagnosing clinician. Research shows that a substantial proportion of these patient’s partners will be infected but unaware of this, warranting efforts to ensure partner notification is facilitated and completed successfully[1,2]. Treatment of infected partners will help them avoid complications and reduce the duration of infectiousness, potentially curbing further unintended sexual transmission. This is particularly important where HIV is concerned. Identification of new cases of HIV through partner notification means these individuals can commence antiretroviral therapy earlier, improving their prognosis and limiting further transmission of HIV. The barriers to successful partner notification can, however, deter some health care providers from initiating the conversations on partner notification with their patients or prevent health care providers from contacting partners on their patient’s behalf’ Such barriers may include but are not limited to clinician discomfort raising sexual health histories with patients, a need to prioritise other health issues over partner notification, patients reluctance to disclose how many sexual partners they have had or limited knowledge or training on how to address partner notification[3]. The Australasian Contact Tracing Guidelines aims to provide practical support and guidance to health care providers to enhance the effectiveness of partner notification. How we help patients contact partners will depend on multiple factors including patient preference and the skills of the provider. Increasingly, people are using the internet, including social media and mobile phone applications, to find their sexual partners. Use of social networks allows for anonymous sexual encounters and may facilitate risky sexual behaviours such as multiple partners and condomless sex[4,5]. In some cases, this is hindering partner notification. How these evolving technologies can be harnessed to improve partner testing and treatment should be the focus of continuing research and innovation in service delivery. On behalf of the expert writing committee, I wish to convey my sincere thanks to everyone who has contributed their time and expertise to this updated edition of the guidelines and hope you will find it a helpful resource. Jane Tomney 2022 Note: The term “health care provider” encompasses reference to general practitioners, primary care providers, nurses and other medical professionals providing sexual health services. Contact Tracing * Introduction * General Principles * Steps in Contact Tracing * Timing the discussion * Ways of notifying contacts * Internet-based Contact Tracing (using Social Media) * How far back to trace * Deciding which STIs to prioritise for contact tracing * Patient-delivered partner therapy (PDPT) Conditions * When contact tracing is recommended * ← Back * CHANCROID * CHLAMYDIA * DONOVANOSIS * GONORRHOEA * HEPATITIS A * HEPATITIS B * HEPATITIS C * HIV * LYMPHOGRANULOMA VENEREUM (LGV) * MYCOPLASMA GENITALIUM * SYPHILIS * TRICHOMONIASIS * When contact tracing should be considered * ← Back * ECTOPARASITES * EPIDIDYMO-ORCHITIS * PELVIC INFLAMMATORY DISEASE (PID) * When contact tracing is not recommended Specific Populations * Introduction to Case Studies * Confidentiality in Practice – Lisa * Confidentiality & Privacy – Troy * Partner Notification using Provider Referral – Wayne * Example Partner Notification – Jessica * Example of Partner Notification – Judy * Example of Partner Notification – Jason * Partner Notification – Alan Case Studies * Introduction to Case Studies * Confidentiality in Practice – Lisa * Confidentiality & Privacy – Troy * Partner Notification using Provider Referral – Wayne * Example Partner Notification – Jessica * Example of Partner Notification – Judy * Example of Partner Notification – Jason * Partner Notification – Alan Privacy & Laws * Australian Privacy, Confidentiality and Public Health Law * Why are privacy and confidentiality important? * Australian privacy laws * Collecting information * Security/storage of health information * Accessing personal records * Disclosure of information * Duty of care to a sexual partner * Failure to follow-up positive test results * Counselling obligations and duty of care to a sexual partner * My Health Record ▸References [1] Rietmeijer CA, Van Bemmelen R, Judson FN et al; Incidence and repeat infection rates of Chlamydia trachomatis among male and female patients in an STD clinic: implications for screening and rescreening. Sex Transm Dis. 2002 Feb;29(2):65-72. doi: 10.1097/00007435-200202000-00001. PMID: 11818890. [2] Ward H, Bell G. Partner notification. Medicine (Abingdon). 2014 Jun;42(6):314-317. doi: 10.1016/j.mpmed.2014.03.013. PMID: 24966787; PMCID: PMC4065334. [3] Rose S.B.;. Garrett S.M.; Pullon S.R.H Overcoming challenges associated with partner notification following chlamydia and gonorrhoea diagnosis in primary care: a postal survey of doctors and nurses https://www.publish.csiro.au/hc/pdf/HC17006 [4] Queiroz JF; Santos Medeiros K; Sarmento ACA; et al, Use of dating sites and applications by women and their risk of sexually transmitted infections: a systematic review and meta-analysis protocol BMJ Open Volume 10 Issue 11 https://bmjopen.bmj.com/content/10/11/e038738 [5] Chan P; Crowley C; Rose JS; Kershaw T; A Network Analysis of Sexually Transmitted Diseases and Online Hookup Sites Among Men Who Have Sex With Men January 2018 Sex Transm Dis 45(7):1 DOI:10.1097/OLQ.0000000000000784 -------------------------------------------------------------------------------- Page last updated October 2022 Endorsement: These guidelines have been endorsed by the Blood Borne Viruses and Sexually Transmitted Infections Standing Committee (BBVSS). Developed by: the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) ABN 48 264 545 457 | CFN 17788 Funded by: The Australian Government Department of Health Disclaimer: Whilst the Australian Department of Health provides financial assistance to ASHM, the material contained in this resource produced by ASHM should not be taken to represent the views of the Australian Department of Health. The content of this resource is the sole responsibility of ASHM. www.ashm.org.au ABOUT About ASHM Acknowledgements Transparency Policy Privacy Policy Feedback RESOURCES Useful resources and websites References and further reading COPYRIGHT © ASHM 2022 * Home * Contact Tracing * Introduction * General Principles * Steps in Contact Tracing * Timing the Discussion * Ways of Notifying Contacts * Internet-based Contact Tracing (using Social Media) * How Far Back to Trace * Deciding on which STIs to Prioritise for Contact Tracing * Patient-delivered Partner Therapy * Conditions * When contact tracing is recommended * CHANCROID * CHLAMYDIA * DONOVANOSIS * GONORRHOEA * HEPATITIS A * HEPATITIS B * HEPATITIS C * HIV * LYMPHOGRANULOMA VENEREUM (LGV) * MYCOPLASMA GENITALIUM * SYPHILIS * TRICHOMONIASIS * When contact tracing should be considered * ECTOPARASITES * EPIDIDYMO-ORCHITIS * PELVIC INFLAMMATORY DISEASE (PID) * When contact tracing is not recommended * Specific Populations * People living with HIV * Male diverse sexuality – (Gay, Bisexual and other Men-who-have-sex-with-men – (GBMSM)) * People who use drugs * People from culturally and linguistically diverse backgrounds * Aboriginal and Torres Strait Islander Peoples Contact Tracing Context * Sex workers and their clients * People in custodial settings * People with no apparent risk factors * Children * Where violence is a concern * Case Studies * Introduction to Case Studies * Confidentiality in Practice – Lisa * Confidentiality & Privacy – Troy * Partner Notification using Provider Referral – Wayne * Example of Partner Notification – Judy * Example of Partner Notification – Jason * Partner Notification – Alan * Example Partner Notification – Jessica * Privacy & Laws * Australian Privacy, Confidentiality and Public Health Law * Why are privacy and confidentiality important? * Australian privacy laws * Collecting information * Security/storage of health information * Accessing personal records * Disclosure of information * Duty of care to a sexual partner * Failure to follow-up positive test results * Counselling obligations and duty of care to a sexual partner * My Health Record * Resource List * Useful Resources and Websites * References and Further Reading * About * Acknowledgements * Feedback * Bookmarks * Contact Us