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We would like to congratulate Skidmore et al1 for providing data to validate self-collected samples (SCS) for the detection of chlamydia. No doubt their study was undertaken within a busy and limited resourced genitourinary medicine (GUM) clinic with little or no specific budget. They found that while there was a high (96%) concordance between specimens, SCS were significantly (12 vs 2, p = 0.004) more likely than endocervical samples to have unassessable results. As internal controls to assess the adequacy of collection of specimen were not reported, it was not possible to establish why unassessable results were more common in SCS. In general, studies show self-collected vaginal samples to have similar or lower numbers …
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