Parallels between the modes of transmission of HIV infection and hepatitis
В and the development of effective hepatitis В vaccines have made the community much more aware of hepatitis B.
Another development has been the recognition of the frequency of human
papilloma virus (HPV) infection. An association between HPV infection and the development of carcinoma of the cervix is now accepted.
In keeping with the tradition established in the previous editions of the Handbook, the third edition is written primarily for general medical practitioners and medical students with the emphasis on the presentation of practical guidelines. References have not been given in the text but a brief bibliography is included.
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The importance of Chlamydia trachomatis in the aetiology of pelvic
inflammatory disease and tubal damage with consequent infertility and ectopic pregnancy has been increasingly recognised. Co-infection with chlamydia in patients with gonorrhoea is common and many venereologists recommend that patients receiving treatment for gonorrhoea should also be treated for chlamydia. The incidence of gonorrhoea has been falling, although the proportion which is penicillin resistant continues to rise. Penicillin resistant gonorrhoea is now considered endemic in Australia.
The National Health and Medical Research Council has recently published Pelvic inflammatory disease — an NHMRC working party report which contains recommendations for the management of this important problem.
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