title: An audit on the management of lymphogranuloma venereum in a sexual health clinic in London, UK.
abstract: We performed an audit on the management of lymphogranuloma venereum (LGV) against the British Association of Sexual Health and HIV (BASHH) guidelines. Sixty-three cases of LGV were diagnosed in 60 men who have sex with men (MSM). Fifty-six out of 63 (89%) episodes were treated in accordance with the guidelines. Although all eligible patients were offered an HIV test, 10% and 29% of patients were not offered syphilis or hepatitis C tests, respectively, at the time of LGV diagnosis. Partner notification was not possible in a third of cases. Several patients were re-infected with rectal Chlamydia trachomatis in the three months following LGV diagnosis, emphasizing the importance of rescreening to detect new infections as well as treatment failures in MSM at ongoing high risk of sexually transmitted infection acquisition.
authors.affiliation: The Jefferiss Wing, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK. dr_shill@yahoo.co.uk
authors.forename: S C
authors.initials: SC
authors.lastname: Hill
authors.forename: L
authors.initials: L
authors.lastname: Hodson
authors.forename: A
authors.initials: A
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities / Q000592:standards*; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D019468:Disease Management; D019983:Guideline Adherence; D018451:Homosexuality, Male; D006801:Humans; D008131:London / Q000453:epidemiology; D008219:Lymphogranuloma Venereum / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011349:Proctitis / Q000382:microbiology; D012189:Retrospective Studies; D055815:Young Adult