To the Editor: In his article on the management of newly diagnosedhuman immunodeficiency virus (HIV) infection (Oct. 20 issue),1Hammer did not specifically recommend screening for gonorrheaand chlamydia. These often asymptomatic infections can causedisease, increase the transmissibility of HIV,2 and result inelevated plasma levels of HIV type 1 (HIV-1) RNA and decreasedCD4 cell counts.3,4
In a study of early HIV infection, we screened all patientswith newly diagnosed HIV for pharyngeal, urethral, and rectalgonorrhea and chlamydia with the use of nucleic acid amplification(BD ProbeTec ET, BD Diagnostic Systems; APTIMA Combo 2 assay,Gen-Probe). . . . [Full Text of this Article]
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