Is increased surveillance for asymptomatic syphilis in an HIV outpatient department worthwhile?
Winston A, et al.Sexual transmission of HIV, including via oral sex, may be increased in the presence of other STIs. The recent syphilis outbreak has included mainly MSM and large numbers of HIV positive individuals. In this group oral sex may be practised as a form of "safer sex," where the risk of HIV transmission was traditionally thought to be lower. With intensive surveillance significant numbers of cases of asymptomatic early syphilis are being identified in a group of HIV individuals under routine follow up, at an earlier stage than would otherwise have been the case. This presents an opportunity to intervene not only to prevent clinical illness but also to institute infection control measures. (prevention)
Sexually Transmitted Infections
—Posted: July 11, 2003
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