The burden of new syphilis diagnoses in London has mainly been in men who have sex with men (MSM), many of whom are co-infected with HIV. Our HIV unit introduced regular serological screening for syphilis during routine follow up care to detect patients who may be at risk of asymptomatic infection. We assessed if this remained an effective and necessary strategy in the second year since introduction.
Department of GU/HIV Medicine, St Stephen's Centre, 2nd Floor, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK. cemcohen@hotmail.com