217 e-Letters

  • 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

  • Parameters of initial heterosexual transmission of HIV-1 in Leopoldville/Kinshasa
    João D Sousa
  • Another enemy, the homophobia.
    Ihosvany Castellanos Santos

    The International AIDS Society (IAS) nowadays expresses its deep concern about continuing inflammatory and homophobic statements by political leaders from different countries, and urges national and international leaders to reject homophobia and to take affirmative steps to reduce its impact on HIV. One of the many lessons learned in the IAS more than 20 years of leadership in HIV/AIDS, is that well-designed and appropr...

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  • Medical Care For Sexual Assault Victims
    Nancy Lutwak

    The recently published article, Chacko L, Ford N, Sbaiti M, Siddiqui R. Adherence to HIV post-exposure prophylaxis in victims of sexual assault: a systematic review and meta-analysis, Sex Transm Infect doi:10.1136/sextrans-2011-050371, contributes greatly to our understanding of the extent of poor adherence to post-exposure prophylaxis in victims of sexual assault. It also clarifies the percentage of such patients defau...

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  • Methods of assessing tubal patency
    Anushree P. Jagadambe

    Bender and colleagues found that relationships between levels of chlamydia infection and complication rates of pelvic inflammatory disease and ectopic pregnancy between and within countries over time were not straightforward1. Many women diagnosed with a chlamydial infection are anxious about future fertility. Fertiloscopy is a novel procedure to assess fallopian tube function and may be a suitable alternative to the go...

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  • Acceptability of providing self-taken vaginal samples and allowing access to NHS numbers and medical records: feasibility study in young female genitourinary medicine clinic attenders
    Pippa Oakeshott

    Sinka and colleagues found that using self-taken vaginal swabs for HPV testing was acceptable to young women who had defaulted from their initial HPV screening appointment at age 211. However, the rate of return of postal samples was low (13%, 725/5500). In October 2011 we conducted a feasibility study to evaluate response rates of 16-24yo female GUM clinic attenders to providing two self-taken vaginal swabs for Chlamydia tra...

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  • Other enemy that besieges us
    Yoshiro A Gonzalez Rodriguez

    Lymphogranuloma venereum was described first by Wallace in 1833 and again for Durand, Nicolas, and Favre in 1913. Climatic bubo is an infection of sexual transmission caused by the bacterium Chlamydia trachomatis. The first symptoms begin to appear from 3 to 12 days after the contagion and they appear like a painless blister, that becomes an ulcer, that can happen inadvertent and they can be confused with syphilis. The l...

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