Chlamydia trachomatis
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)