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The survey by Dehne et al was carried out in 1998–9 and inevitably does not necessarily represent the current situation.1 The authors report that the United Kingdom has no national STI programme and management guidelines. The first ever national strategy for sexual health and HIV for England was published in 2001.2 It contains the two key objectives of ensuring that everyone has better access to information on sexual health and to make services more available and accessible to all those who require them at all ages. The strategy also has specific aims of reducing acquisition, transmission and the prevalence of undiagnosed HIV and STIs. Specific targets to increase the uptake of HIV testing in hepatitis B vaccination have also been set.
The issue of case management guidelines was not detailed in the strategy since this has been specifically tackled by the specialty of genitourinary medicine. A clinical effectiveness group was set up between the Association of Genitourinary Medicine and the Medical Society for the Study of Venereal Diseases in 1997, with the specific remit of producing evidence based national guidelines and standards for those working in the specialty of genitourinary medicine. These were published in STI in 19993 and updated in 2002.4
I hope these observations will help to update the survey with particular reference to England.
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