Brief Encounters
FINDING SYPHILIS IN THE HIV CLINIC
Many HIV clinics now offer regular sexual health screening. Cohen et al went further and added syphilis screening into routine blood tests for people followed up for HIV care. In a one year period, 2389 syphilis tests were carried out when patients had routine CD4 tests. Forty early, asymptomatic syphilis cases were identified, a rate of 7.3 per 1000 patient years, and accounting for 36% of infectious syphilis cases at the centre. See p 217
SUCK IT AND SEE
Another recommended approach to syphilis case-finding in an outbreak is to move off site. Lambert and colleagues in Brighton followed this advice and took screening to various gay venues. They …







