Publications

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the changing pattern of sexually transmitted diseases in adolescents.the factors associated with the rising incidence of sexually transmitted diseases in adolescents in england and wales are both social and medical. among the social factors is the large part played by sex in periodicals, advertisements, the theater, radio, and television. also playing their part are increased mobility of populations, particularly moves from rural to urban areas, increased affluence, increased alcohol comsumption and leisure time together with greater personal freedom. the medi ...1979582209
prevalence of sexually transmitted disease infection in women alleging rape.during a 2-year period ending in october, 1989, 110 women who claimed to have been raped were treated at the sexually transmitted disease clinic at birmingham general hospital. a total of 22 sexually transmitted infections were found in 14 (13%) women, of which chlamydia trachomatis (in 8%) and trichomonas vaginalis (in 6%) were the most frequently found pathogens. in none of these patients was it possible to determine whether infection resulted from rape or from voluntary intercourse with anoth ...19921411849
sexually transmitted diseases and rape: the experience of a sexual assault centre.epidemiological data and rates of sexually transmitted diseases (stds) are presented from a group of 90 women screened following rape. forty-eight (53%) women knew their assailant. in 6 cases multiple assailants were involved. in 21 (23%) rapes weapons were used. of 47 women examined within 48 hours of rape, 17 (36%) had evidence of genital trauma. anal injury was common (8 of 11, 73%) in those reporting anal intercourse. anal assault (17 of 90, 19%) and oral assault (16 of 90, 18%) commonly acc ...19902094402
a prospective study of genital infections in a family-planning clinic. 1. microbiological findings and their association with vaginal symptoms.a prospective study of genital infection was conducted in four inner-city family-planning clinics. fifteen per cent of routine attenders had symptoms and signs of vaginal infection and many more women attended primarily because of symptoms. among the women with both signs and symptoms, 70% had positive laboratory findings, trichomonas vaginalis, candida albicans and bacterial vaginosis being equally prevalent. measurement of vaginal ph in the clinic was the single most useful clinical finding fo ...19902307184
prostitution in sheffield: differences between prostitutes.this study to assess differences between street walking prostitutes and sauna girls who attended this clinic in 1986 and 1987 showed that fewer street walkers used barrier methods for disease prevention with clients or accepted tests for antibody to human immunodeficiency virus (hiv) when offered and more street walkers practised their profession in both sheffield and london. they therefore represent a potential pathway for the heterosexual spread of hiv to the region. trichomonas vaginalis was ...19883224974
sexually transmitted infections in adolescent girls.two hundred and ten adolescent girls in residential care with an age range of 12 to 16 years were screened for sexually transmitted infections. the incidences of infection with neisseria gonorrhoeae, chlamydia trachomatis, and trichomonas vaginalis were 13.7%, 16.2%, and 16.0% respectively. pelvic inflammatory disease was identified in 16.4% of those with c trachomatis or gonococcal infection. the high morbidity from sexually transmitted disease in these adolescent girls reinforces the need for ...19873583269
incidence of sexually transmitted diseases in rape victims during 1984.during 1984, 46 women attended the sexually transmitted disease (std) clinic at st mary's hospital alleging that they had been raped. at presentation, 31 (67%) were asymptomatic. evidence of std was found in 14 (30%) women, mixed infections occurring in four. chlamydia trachomatis and trichomonas vaginalis were each detected in six (13%) patients and neisseria gonorrhoeae in three (6%). the source of the infection could not confidently be traced to the alleged rapist. two patients were found to ...19863755418
non-specific genital infection in a general practice. 19744212200
chlamydia a in the female genital tract. 19744361573
microflora of the vagina during pregnancy. 19744612720
naxogin in trichomonas vaginalis--a clinical trial with epidemiologic study. 19744618703
metronidazole-resistant trichomonas vaginalis. 19816118546
metronidazole-resistant trichomonas vaginalis. 19826119430
sexually transmitted diseases: an epidemic in adolescent girls?the prevalence of sexually transmitted disease (std) in adolescent girls aged 15-19 attending a department of genitourinary medicine was compared for the years 1972 and 1982. data were obtained from the confidential register using the coding of the clinic returns to the department of health (form sbh 60). there were 1373 patients in 1972 and 1799 in 1982, 6.4% and 7% respectively of the total female clinic population. the prevalence of syphilis, gonorrhoea, and infection with trichomonas vaginal ...19846549148
oral contraceptive use and prevalence of infection with chlamydia trachomatis in women.one thousand eight non-pregnant women aged 16-34 years, presenting for the first time at a clinic for sexually transmitted diseases (std), were examined and screened for infection with chlamydia trachomatis, neisseria gonorrhoeae, trichomonas vaginalis, and candida species. the respective prevalence rates were 21.1%, 20.7%, 13.4%, and 27.8%. isolation rates for c trachomatis, either occurring alone or in association with other genital infections, were significantly greater in women using oral co ...19817237082
neotran--a new double-active pessary for the treatment of vaginitis.the common causes of vaginitis have changed in recent years. infection with trichomonas vaginalis is much less frequent than it used to be. the most common causes of vaginitis are candidiasis and bacterial vaginosis due to infection with mixed bacterial flora. in general practice, treatment of vaginitis is often begun before microbiological confirmation of the diagnosis is available. a vaginal pessary has been formulated to provide an effective therapy in all three forms of vaginitis mentioned a ...19938319819
the management of patients with inflammatory smear results in general practice.to ascertain the management of inflammatory smear results by general practitioners.19938509093
is trichomonas vaginalis still a marker for other sexually transmitted infections in women?trichomonas vaginalis (tv) has, in the past, been regarded as a useful marker for other asymptomatic sexually transmitted infections such as gonorrhoea and chlamydia in women. the aim of this study was to determine whether tv is still such a marker. all women attending the department of genito-urinary medicine at the leeds general infirmary with a diagnosis of tv during 1983 and 1993 were identified and concurrent infections were tabulated. in 1993 approximately 30% of women with tv had at least ...19968737338
patients with genital warts: how are they managed by general practitioners?this study was carried out to assess the management by general practitioners of patients with genital warts. an anonymized postal questionnaire was sent to 2060 general practitioners in the north west of england; 1260 (61.2%) completed questionnaires were returned. a total of 76.69% of gps saw one or more cases per quarter. of 468 (37.1%) gps who managed patients in-house, 393 (83.9%) used podophyllin of concentration between 0.5 and 50%; 169 (43%) did not specify the podophyllin concentration a ...19968799786
sexually transmitted diseases among women in coventry. 19979050291
utilisation of genitourinary medicine services by general practitioners: effect of geographic location, fundholding status, and potential effect of total fundholding.to determine the current utilisation of genitourinary medicine (gum) services by general practitioners (gps) and any changes likely to occur with moves towards a primary care led nhs.19979582477
a one-year survey of gonococcal infection seen in the genitourinary medicine department of a london district general hospital.the results of a one-year clinical, epidemiological and microbiological survey of gonococcal infection presenting to the patrick clements clinic (pcc), a london district general hospital (dgh) genitourinary medicine (gum) clinic, are presented. clinical and epidemiological patient data were collected by a combination of questionnaire and retrospective case-note review. microscopy performance within the pcc, outcome of treatment, return for tests of cure and efficacy of contact tracing were asses ...199910492425
is bacterial vaginosis associated with cervical intraepithelial neoplasia?previous research has produced conflicting results regarding the association of bacterial vaginosis (bv) and cervical intraepithelial neoplasia (cin). these studies have been weakened in their conclusions mainly by failure to adequately control for the presence of sexually transmitted infections (stis). one proposed mechanism suggesting that carcinogenic nitrosamines acting either independently or via human papilloma virus (hpv) has not been fully tested previously. we undertook a prospective, c ...200312657117
prevalence of sexually transmitted infections and mental health needs of female child and adolescent survivors of rape and sexual assault attending a specialist clinic.to determine the prevalence of sexually transmitted infections (stis) and the mental health needs of female child and adolescent survivors of rape and sexual assault who were referred to a specialist genitourinary medicine (gum) clinic.200415054179
treatment failure of vaginal trichomoniasis in clinical practice.we have conducted a retrospective study of treatment failure of trichomonas vaginalis (tv) infection in a busy, urban genitourinary medicine clinic in birmingham, uk, between 1998 and 2002. the prevalence of non-response to standard doses of metronidazole without any history of reinfection or nonadherence was 1.7% (28/1603) overall, and has significantly increased from 0.38% in 1999 to 3.5% in 2002 (p = 0.001, chi2 test). there were no associated demographic factors. the majority of patients (53 ...200515899079
trichomonas vaginalis in a sheffield genitourinary medicine department.the case-notes of all patients who were diagnosed with a first episode of trichomonas vaginalis (tv) between 1 october 2002 and 30 september 2003 were reviewed. a total of 78 patients were suitable for inclusion in the study. analysis of their notes revealed that, although the majority of patients presented with symptoms, 15% (n=12) of cases were asymptomatic. a raised vaginal ph was found in 94% (n=47) of the patients in whom it was measured. in all, 97% (n=76) of patients received treatment in ...200516004629
finding cases of trichomonas vaginalis infection in england.we describe the use of a new molecular assay for trichomonas vaginalis (tv), the gen-probe aptima tv (atv) in female attendees at community clinics, a genitourinary (gu) medicine clinic and a prison gu medicine service. positivity rates at community clinics and gu medicine were 0/382 (0%) and 3/358 (0.8%, 95% confidence interval [ci] 0-1.7%), respectively. positivity was significantly higher, 29/269 (10.8%, 95% ci 7.1-14.5%), odds ratio (or) 14.3 (4.11 < or < 59.55), in those tested at the priso ...201121795421
prevalence, clinical features and quantification of genital non-viral infections.we conducted a study of the prevalence, clinical features and microscopy findings, by retrospective case-notes survey, of six non-viral organisms, among 1718 attendees at a genitourinary (gu) medicine clinic in england. an in-house assay for six non-viral infections was used and quantitation of ureaplasmas performed. the prevalences of the six organisms were: chlamydia trachomatis (ct), 7.1%; neisseria gonorrhoeae (ng), 0.6%; mycoplasma genitalium (mg), 1.0%; trichomonas vaginalis, 0.2%; ureapla ...201323970658
population structure and genetic diversity of the parasite trichomonas vaginalis in bristol, uk.the protozoan parasite trichomonas vaginalis is the causative agent of trichomoniasis, an extremely common, but non-life-threatening, sexually-transmitted disease throughout the world. recent population genetics studies of t. vaginalis have detected high genetic diversity and revealed a two-type population structure, associated with phenotypic differences in sensitivity to metronidazole, the drug commonly used for treatment, and presence of t. vaginalis virus. there is currently a lack of data o ...201526051885
distribution and risk factors of trichomonas vaginalis infection in england: an epidemiological study using electronic health records from sexually transmitted infection clinics, 2009-2011.we used data from the genitourinary medicine clinic activity dataset (gumcad) over a 3-year period (2009-2011) to investigate the distribution and risk factors of trichomonas vaginalis infection in england. socio-demographic and clinical risk factors associated with a diagnosis of t. vaginalis were explored using multivariable logistic regression. rates of t. vaginalis infection were highest in london and the west midlands. for men and women, t. vaginalis infection was significantly associated w ...201424289912
trichomonas vaginalis: an audit of clinical practice and the demography of infected patients at three london genitourinary medicine clinics.this audit aimed to review clinical standards for trichomonas vaginalis against british association of sexual health and hiv (bashh) guidelines. case notes for patients who had a positive microscopy or culture result were reviewed retrospectively. there was a 0.23% positivity rate for t. vaginalis (nā€‰=ā€‰84 cases); 96% were female with an average age of 33 years, with proportionally more patients seen in the african/caribbean population, despite the number of cases being comparable between white ( ...201323970607
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