40 e-Letters

published between 2012 and 2015

  • Dr Martin Rankin GP
    Martin J Rankin

    I think there has also to be some consideration of NHS resources in deciding where STI testing takes place.

    To do take a full sexual history, contact history, then perform an intimate examination, take swabs, then explain examination findings to the patient while throughout respecting the patients dignity does not fit into a ten minute slot.

    If there is an issue of contact tracing this certainly goes bey...

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  • Where have young men been screened for STI's?
    Ummer Qadeer

    In their stratified random probability survey of 411 men aged 18-35 years, Saunders and colleagues found that 29% had been tested for a STI, mainly in genitourinary medicine (GUM) clinics (53%) or general practice (17%)1. In September 2012, for a medical student project, we conducted a questionnaire survey of young men and women at Lambeth Further Education College in south London. Lambeth is an area with one of the high...

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  • Polymerase chain reaction detection in diagnosis of early syphilis: a preliminary result from China
    Chen Xiang-Sheng

    Recently, Gayet-Ageron and colleagues published a systematic review and meta-analysis to evaluate the diagnostic values of T. pallidum PCR, and concluded that PCR is a useful additional diagnostic tool.1 However, the data on examining diagnostic performance of PCR-based methods for early syphilis are still limited in China although a few studies with the indirect data from China were included in the literature review.1...

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  • Re:Sensitivity of Gram stain in urethritis
    Ma Angeles Orellana

    We will try to answer the questions reported by Doctors Taylor- Robinson and Horner. i) This study was carried out in a Primary Care Laboratory, not in a Sexually Transmitted Infection Clinic. This fact could explain the less percentage of patients with ?5 PMNLs and the difference with other studies (1-3). The mean age of patients analyzed was 34 years old with a range between 16- 76. ii) The symptoms were: pain (17%), di...

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  • Pregnant women's opinions on the acceptability of providing self-taken vaginal swabs for a study of infection and miscarriage.
    Pippa Oakeshott

    Patel and colleagues describe an audit of antenatal screening in pregnant women with positive syphilis serology to ensure associated STIs were diagnosed and treated(1). In July 2012 we conducted a brief audit of opinions of consecutive pregnant women attending an antenatal clinic at St Georges' Healthcare NHS Trust. They were asked a single oral question about whether they would be willing in principle to provide a self-t...

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  • The morning after pill as an 'easy' option: the implication for STIs
    Frances Shiely

    I read with interest, horror, amazement and a whole myriad of feelings, an article in the Sunday Times Magazine (July 22 2012) on the morning after pill in the UK.[1] It prompted me to do a search of your journal, for research on this issue. Again I felt surprise, at the few publications on this topic. I tried different search terms, "emergency contraception", "morning after pill" and "Levonelle" but it yielded only...

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  • Second tests for Chlamydia trachomatis and Neisseria gonorrhoeae
    Sue Skidmore

    The paper by Hopkins et al suggests that repeat testing for C trachomatis (CT) and N gonorrhoeae (NG) is unnecessary.1 This issue has long been debated 2,3,4 and currently, with many laboratories having to reduce costs, the view put forward in this paper seems attractive. We would, however, like to make the following points. Repeat testing for CT using the same platform is not recommended for the purpose of confirmation...

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  • Re-evaluation of serological criteria for early syphilis treatment efficacy: progression to neurosyphilis despite therapy. A reply.
    Alfredo Rebora

    We read the article of P. Zhou and collaborators1 with great interest. We agree that clinicians should be aware that appropriate therapy in early syphilis may be not sufficient for avoiding late-stage disease, neuro-syphilis in particular. To support such an important issue, we would like to deliver the data we obtained by a retrospective study we conducted some years ago.

    The data were collected in our Sectio...

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  • Sensitivity of Gram stain in urethritis
    David Taylor-Robinson

    Over several years we have been interested in urethritis and its possible causes. We are aware that a few subjects whose urethral smears are Gram stain negative are, nevertheless, infected with pathogenic micro-organisms. In view of this, we were interested in the paper by Orellano et al. 1 in which they indicate that this may be a bigger problem than otherwise thought...

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  • Superb!
    Rashid Mamunur Md

    This article contains invaluable information to learn more about Syphilis and it's control strategy. Thanks to the author.

    Conflict of Interest:

    None declared