Chlamydia trachomatis: Difference between revisions
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==Background== | ==Background== | ||
*Most | *Most common STD in the United States<ref name="Keegan">Keegan MB, Diedrich JT, Peipert JF. Chlamydia trachomatis Infection: Screening and Management. Journal of clinical outcomes management : JCOM. 2014;21(1):30-38.</ref> | ||
*Asymptomatic in > 50% of infected individuals | *Asymptomatic in > 50% of infected individuals | ||
*Risk factors<ref name="Keegan" /> | |||
**Age <26 most prevalent group | |||
**Cervical ectopy | |||
**New or multiple sexual partners | |||
**Inconsistent or lack of use of barrier protection | |||
**Early coitarche | |||
===Complications=== | |||
*[[Pelvic Inflammatory Disease|PID]] | |||
*[[Ectopic Pregnancy]] | |||
*Infertility | |||
==Clinical Features== | ==Clinical Features== | ||
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*[[Neisseria Gonorrhoeae|Gonorrhoea]] | *[[Neisseria Gonorrhoeae|Gonorrhoea]] | ||
== | ==Diagnostic Evaluation== | ||
*Urine | *Endocervical or urethral swab | ||
*Urine chlamydia test | |||
*Speculum exam | *Speculum exam | ||
== | ==Management== | ||
*[[Azithromycin]] 1g PO | *[[Azithromycin]] 1g PO x1 '''OR''' | ||
*[[Doxycycline]] 100mg PO BID | *[[Doxycycline]] 100mg PO BID x7 days | ||
==Disposition== | ==Disposition== | ||
*Discharge | |||
*Avoid sex for 7 days to prevent transmission | *Avoid sex for 7 days to prevent transmission | ||
*Partners in the previous 60 days should all be notified/tested/treated | *Partners in the previous 60 days should all be notified/tested/treated<ref name="Keegan" /> | ||
*Rescreen in 3 months | *Rescreen in 3 months | ||
==See Also== | ==See Also== | ||
Revision as of 03:28, 7 September 2015
Not to be confused with chlamydophila, another genus of pathogenic bacteria
Background
- Most common STD in the United States[1]
- Asymptomatic in > 50% of infected individuals
- Risk factors[1]
- Age <26 most prevalent group
- Cervical ectopy
- New or multiple sexual partners
- Inconsistent or lack of use of barrier protection
- Early coitarche
Complications
- PID
- Ectopic Pregnancy
- Infertility
Clinical Features
- Vaginal discharge
- Intermenstrual bleeding
- Urethritis
- Epididymitis
- Proctitis
- Reiter syndrome (urethritis, conjuctivitis, rash)
Differential Diagnosis
Diagnostic Evaluation
- Endocervical or urethral swab
- Urine chlamydia test
- Speculum exam
Management
- Azithromycin 1g PO x1 OR
- Doxycycline 100mg PO BID x7 days
Disposition
- Discharge
- Avoid sex for 7 days to prevent transmission
- Partners in the previous 60 days should all be notified/tested/treated[1]
- Rescreen in 3 months
See Also
- STDs
- Proctitis
- Lymphogranuloma venereum (for L1, L2, and L3 serovars)