61 e-Letters

published between 2007 and 2010

  • What are the confounding variables?
    John D Dalton

    It is impossible to judge the validity of this finding without data on the confounding variables.

    Given the Indian setting it seems likely that those who are circumcised are Muslims whereas those who are not will be mostly Hindus. As such the circumcised participants are subject to a different sexual mores giving doubt to the conclusion.

    Circumcision has long been advocated on the basis of simplistic...

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  • Brief Encounters-Helen Ward
    Claire Hummins

    Hi, I am interested in the article which was published in 2008 called Brief Encounters by Helen Ward and Emma Meader which concerns Chlamydia and Toilet seats.


    Does this mean that it IS possible to catch an STI from a surface and that they can survive on surfaces for up to 50 days and within that 50 remain active enough to be caught? I am not just talking about c...
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  • Re: Urological Management of Epididymo-Orchitis; Simple, Ofloxacin for all!
    Colm O`Mahony

    The letter by Philips et al1 about urological management of acute epididymo-orchitis reflects the experience of all of us who pick up the pieces after mis-management of epididymo-orchitis. However, before we can criticise our Urology colleagues we really have to look at our guidelines and see how useful they are? The BASHH Guideline for Management of Epididymo-Orchitis2 is largely aimed at level 3 services that have ins...

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  • Decline in genital warts in Melbourne: How much is really due to the implementation of the Australian national quadrivalent human papillomavirus vaccination programme?
    Marie-Claude Boily

    We read the article by Fairley et al(1) with great interest. The authors concluded that the decline in genital warts among women in the age groups (<28 years) targeted for vaccination provides strong evidence for the population-level effectiveness of the vaccine. They also report that this conclusion was strengthened by the fact that no significant decline in genital warts post vaccination has been noted among other ri...

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  • Re:Pharyngeal and Rectal Testing for Chlamydia trachomatis in MSM: Evidence Base
    Peter Watson

    I thank Dr Alexander for her reply. However I question the assumption that Chlamydia trachomatis is always a pathogen, wherever it is found. Before we embark on what could be a costly programme of screening for C. trachomatis in the throat and the rectum, do we not need some evidence that the detection and treatment of asymptomatic infection in those sites will be associated with clinical benefit in the patients and th...

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  • Time to improve HIV testing and recording of HIV diagnosis in UK primary care - a response
    Surinder Singh

    Richard Ma makes some excellent points in his editorial (1). I would like to 'correct' a misperception but add to the current debate about HIV-testing and subsequent care within UK general practice. Ma states that it was the use of highly active antiretroviral therapy (HAART) which precipitated the debates around shared care of patients with HIV infection. Unfortunately this is not true. For those old enough to remember,...

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  • 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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