216 e-Letters

  • Promoting HIV testing, chlamydia testing and long acting reversible contraception.
    Anne K. Tear

    Phillips and colleagues found a third of in-patients had HIV tests following implementation of a routine HIV testing policy at Croydon University Hospital1. We recently found similar rates of HIV testing in young women in the community in our medical student research projects. In line with the 2013 Framework for Sexual Health Improvement's "three specific indicators for sexual health" 2, we investigated reported uptake...

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  • Dear Editor
    Philippa M Matthews

    Trichomonas Vaginalis (TV) is frequently described as being associated with pre-term delivery and low birth weight - and was again by Professor Hillier in her editorial in her (unreferenced) introductory paragraph. As far as I can ascertain, this association appears to be based on published evidence from the 80s and 90s.

    Is it possible, given the more recent understanding of a link between TV and poverty, that t...

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  • Response to a letter Recent Advances of the HIV Surveillance System in Iran: Current Situation and Ways Forward
    Ivana Bozicevic

    We very much appreciate the letter that Dr Haghdoost and colleagues wrote in relation to some of the issues outlined in our paper HIV surveillance in MENA: recent developments and results and, in addition, described some more recent developments in HIV surveillance in Iran.

    We would like to reflect on several issues that they raised.

    Our paper states that Djibouti, Iran, Morocco and Pakistan can be...

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  • Recent Advances of the HIV Surveillance System in Iran; Current Situation and Ways Forward
    Ali Akbar Haghdoost

    We very much enjoyed reading Dr. Bozicevic's paper about the recent developments in HIV Surveillance in MENA in a recent issue of your journal [1]. Some topics discussed in that paper concern us and we would like to share a few opinions about the current HIV surveillance system in Iran and its recent advances. In the paper it is stated that only two countries in the region (Morocco and Sudan) have a partially functioning H...

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  • Measures of risk do not discriminate between MSM tested for HIV within the previous 6 months and MSM tested 6 to 12 months previously: Data from Glasgow, Scotland, in 2010.
    Christina Knussen

    UK and USA guidelines recommend at least annual HIV testing for men who have sex with men (MSM), with more frequent testing for those at risk. Although measures of risk and regularity of HIV testing are essential for evaluating interventions, these are not yet standardised across the UK.1 Risk criteria could include recent unprotected anal intercourse (UAI), a high number of partners, unknown partners, and recent STI.2...

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  • Why is the Number of HIV/AIDS Related Publications Low in the MENA Region?
    Ali Akbar Haghdoost

    We enjoyed reading Dr. Saba's paper[1] and would like to share some opinions about HIV/AIDS related publications in the Middle East and North Arica (MENA). This paper showed a positive trend in the number of annual HIV/AIDS related publications in the MENA, on the other hand, this paper suggests that this number is still very low considering the sharp upward trend of HIV new infections in this region. This gap might be d...

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  • Chlamydia testing: where are we now? Recruiting high risk women to a pilot STI screening trial.
    Tia Hunjan

    In their topical editorial, Jain and Ison state that "testing (for chlamydia) is a crucial part of any effective control strategy"1. In January 2013 we conducted a pilot study of Chlamydia trachomatis and Neisseria gonorrhoea testing in female students at Lambeth Further Education College, London to assess recruitment to a possible POPI (prevention of pelvic infection) 2 screening trial.2

    Two female general pr...

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  • No condoms for prisoners: accumulating risks of HIV, STI but also Hepatitis transmission
    Nicolas Lorente

    Butler and colleagues[1] report convincing results confirming that the availability of HIV prevention tools such as condoms in prisons does not increase sexual activity among inmates but rather increases safe sex. These results represent a major step towards negating the widespread belief that the general availability of prevention measures in prisons increases at-risk practices associated with HIV, Hepatitis and other...

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  • Re:Flow cytometry is a sensitive and rapid tool for ruling out NGU

    Acute nongonococcal urethritis (NGU) is one of the commonest sexually transmitted infections affecting man and woman. The diagnosis of NGU has traditionally required microscopic evidence of urethritis. However, a significant proportion of patients with urethral symptoms do not have microscopic evidence of urethritis. A recently published article by Orellana MA et al [1] highlighted the low sensitivity of Gram stain in th...

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  • Do HIV POCT testing algorithms help in clinical practice?
    Richard Stack


    HIV (Point of Care Tests) POCTs are increasingly popular and overcome many barriers to testing. Yet POCTs have false reactive results requiring confirmation. Teague et al,(2009) looked at using a second POCT as confirmation. The first line POCT was the INSTI? HIV-1/HIV-2 Rapid Antibody Test; the confirmatory test the Alere Determine. The serum of 91 individuals with a positive INSTI was retrospectiv...

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