BASHH Profile picture
12 Oct, 10 tweets, 4 min read
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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More from @BASHH_UK

12 Oct
Time for the keynote speech from #PaddyHorner: Is there a hidden burden of disease as a result of epigenetic epithelial-to-mesenchymal transition following chlamydial genital infection? #vBASHH21
Life cycle of Chlamydia trachomatis:
Not a trifling STI: #chlamydia #vBASHH21
Read 16 tweets
12 Oct
Kicking off the short oral abstract session: #MiriamRingshall discussing chemsex, Doxy STI PrEP and influence of the pandemic on sex behaviour in Brighton MSM
High rates of drug use inc. chems, STIPrEP, multiple sexual partners. How does this compare to your service users? And how do you support? Apps may be helpful #vBASHH21
Next: Tia Hunjan describing possible pathophysiology of hypoactive sexual desire disorder, which is commoner in young women with an estimated prevalence of 10%
Read 12 tweets
12 Oct
Now live Session 2 of #vBASHH21

Returning to Normal - more from
NATSAL deftly adapted their questionnaire content to reflect our new pandemic world #vBASHH21
Reduction in new sexual partners across all age groups during COVID
Read 5 tweets

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