eLetters

73 e-Letters

published between 2006 and 2009

  • Pharyngeal and Rectal Testing for Chlamydia trachomatis in MSM: Evidence Base
    Sarah Alexander

    Dear Editors,

    Pharyngeal and Rectal Testing for Chlamydia trachomatis in MSM: Evidence Base

    Dr Watson requests the evidence base that screening asymtomatic Men who have Sex with Men (MSM) for C. trachomatis in the throat and the rectum confers either the patient or their contacts any benefit. When considering this question it is important to remember that our current knowledge regarding the natural hi...

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  • Vaginal bacteria in bacterial vaginosis.
    Pentti A. Leppäluoto

    Dear Editor,

    For more than 50 years the etiology of bacterial vaginosis, originally desribed as a sexually transmitted disease (1,2) has been considered controversial. The mainstream of studies on BV have been focused on the microbiology of vagina in concert with the original view of a contagious disease. No doubt, those studies like the present one by Haggerty et al.(3), discussed by Hay (4),have expanded our...

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  • Human papilloma virus, sexual behaviour and logical places of infection and malignancy
    Prof.dr Nikola N. Ilankovic

    The locations on body of sexual transmited infections with Human papilloma viruses, can corelate with "inovationes" in sexual behaviour. It is logical that the viral afectiones (condilomata, precancerous lesions and carcinoma) can be located on cervix, vulva, glans penis, anal region, oral region and tongue, haed and neck, larinx, oesophagus and breast! Very important is the maybe causal connection between human papilloma...

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  • Evidence, please
    Peter G Watson

    It is a shame that Dr Alexander's opening sentence: "It is important that all men who have sex with men (MSM) accessing sexual health-care are tested for Neisseria gonorrhoeae and Chlamydia trachomatis (CT) at all anatomical sites where they may be at risk of infection.", is not referenced.

    I should appreciate being directed to the evidence that screening asymtomatic MSM for CT in the throat or rectum confers t...

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  • Anal sex need not be highly prevalent to affect HIV incidence among heterosexual populations
    Richard T Gray

    The results published by Kalichman et. al. on anal intercourse (AI) practices among heterosexuals in South Africa [1] and the associated editorial by Boily et. al. [2] are important contributions to our understanding of HIV transmission. While a small proportion of men (14%) and women (10%) report engaging in heterosexual AI [1], this mode of exposure could be important to overall HIV transmission rates because the ris...

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  • The financial burden of HPV on the NHS was underestimated leading to wrong choice of vaccine.
    Colm P O'Mahony

    Sir: The editorial by Sheldon R Morris1 concludes that the rationale for a vaccine that includes HPV 6 and 11 is compelling. The British Association for Sexual Health & HIV also thought the evidence was compelling and said so in a press release2. The choice of Cervarix over Gardasil was indeed a sad day for Sexual Health in the UK3. The key to the decision in the UK was the perceived cost to the NHS of genital...

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  • The challenge of detecting gonorrhoea (GC) – we can, we should, we already do more.
    Mrinalini Mahto

    Dear Editor,

    In a recent leading article Alexander (1) citing in particular recent work with men who have sex with men (MSM) in the USA (2), has suggested that when examining extra-genital specimens from high risk patient groups, GC culture should be replaced by GC nucleic acid amplification tests (NAATs). We agree with this conclusion but believe that the higher sensitivity of GC NAATs should be promoted to allow imp...

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  • A surgical perspective
    Emma L Marsdin

    Dear Editor,

    Although lymphogranuloma venereum (LGV) as a cause of severe proctitis is well known amongst genitourinary and gastroenterological specialists, it remains absent from a common list of causes of rectal bleeding amongst General Practitioners and Surgeons. An example is a case of a homosexual man who presented as a 2 week rule urgent referral to the Colorectal clinic with painless rectal bleeding and went on...

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  • LGV doesn’t spread in the overall Chlamydia trachomatis-infected population in France
    Bertille de Barbeyrac

    Dear Editor,

    Helen Ward (3) ask the question about the extent of the Lymphogranuloma venereum (LGV) in the wider population than that of men who have sex with men (MSM). A rospective sentinel survey set up in France following the European alert in January 2004 tried to answer this question. From April 2002 to December 2008, rectal samples from MSM were collected by the French National Reference Centre for Chlamydia infec...

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  • no mention of "on costs"?
    Colm O'Mahony

    Dear Editor,

    From this paper we get a good idea on the medical and nursing costs for managing warts but a major cost for the NHS is the building, furnishings, equipment, phones, all other satffing i.e secretaries, reception, managers, finance, personnel etc. This is estimated at about 20% to 25% and should have been mentioned. Some detail about what drugs were used would have been good. In my clinic we treat 800 new...

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