Debate about to start #VBASHH21
Pre debate poll ! #vBASHH21
Paddy Horner: 2/52 window is biologically implausible given sensitivity of NAAT assays, and denying testing risks reducing access to care
The ‘for’ debate conclusions -Paddy Horner #vBASHH21
@AchyutaNori: not all chlamydia tests are created equal; even though RNA typically degrades, it can sometimes persist (up to centuries!) Hard to tell if your infecting organism is alive/viable or not.
#vBASHH21 Goals are to avoid non-significant unviable positive CT results and overtreatment; chat contributors suggest testing at presentation *and* at 2 weeks via home kit. What do you do in your centre? Let us know
The Against debate conclusion @AchyutaNori #vBASHH21
Time for the post-debate vote: have you changed your mind?
Now 42% for, 58% against! Very slight difference. Congrats to both presenters for very interesting arguments.
The RESULTS #vBASHH21 debate
Questions: do these arguments change for, eg. extragenital sites or special populations like MSM or pregnant people? Answer: we don't yet know.
Do asympto contacts need empiric therapy? Risk of complications is low, perhaps we should reconsider current approach.
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