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We would like to correct the inaccurate comments made in the commentary in STI.1
The paper states that the draft guidance misses out under 25 year olds as reflected in the paper's title and in further references within the text in relation to chlamydia screening. This view is not correct—the draft and final NICE guidance identified that those who have “early onset of sexually activity” and who have “unprotected sex and frequent change of and/or multiple sexual partners are at risk”—under 25 year olds fall into these two categories. These are key risk behaviours for chlamydia infection. The guidance recommendations for vulnerable young people under 18 also relate to this group.
A second comment “the guidelines appeared to focus exclusively on consultations in which patients are seeking care for an issue related to sexual health” does not represent the guidance. The guidance actually states that risk assessment can be “during routine care and or travel immunisation.” The final NICE guidance also states that the recommendations should be implanted alongside the National Chlamydia Screening Programme.
The full NICE guidance ‘‘Prevention of sexually transmitted infections and under 18 conceptions' is available at http://guidance.nice.org.uk/phi003.