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PCN G 2.4 million Units IM x 3 doses (1 wk intervals)
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1 Transmission of Chlamydia 2 Male Urethritis
How do we treat chlamydia in
3 4 Therapy for late latent syphilis?
uncomplicated infections?
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Terms in this set (55)
Transmission of Chlamydia Highly Transmissible (sexual/vertical), Incubation
period of 7-21 days, re-infection is common
C. Trachomatis Urethritis Majority are asymptomatic; SXS include
mucopurulent mucoid or clear urethral discharge,
dysuria; Complications include epididymitis and
Reiter's Syndrome
, C. Trachomatis in Women 1. Cervicitis- Majority are asymptomatic, sxs include
mucopurulent endocervical discharge, edematous
cervical ectopy w/ erythema and friability
2. Urethritis- Usually asymptomatic, sxs include
dysuria, frequency, pyuria
Complications include PID (Salpingitis, Endometritis),
perihepatitis, and Reiter's Syndrome
How do we diagnose chlamydia? Culture- "gold standard" but have largely been
replaced by NAATs
NAAT's- Urethral swabs from men, Cervical swab for
women, urine from both; More sensitive than other
tests, can detect N. Gonorrhoeae in same specimen
How do we treat chlamydia in Azithromycin 1G po- Single Dose, OR Doxycycline
uncomplicated infections? 100mg po BID x 7 days
How do we treat chlamydia in Azithromycin 1 G po in single dose (or
pregnant women? amoxicillin/erythromycin)
Treatment of Neonatal conjunctivitis Erythromycin po qid x 14 days
and/or pneumonia
Treatment of chlamydia infection in If they weigh < 45 kg= Erythromycin
children? If they weigh >/= 45 kg, but are <8 y.o= Azithromycin 1
G po in SINGLE dose
If they are >/= 8 y.o= Azithromycin 1 G single dose OR
Doxycycline 100mg po BID x 7 days
Do we repeat test for chlamydia? In pregnant women, YES!- preferably by NAAT 3 wks
after completion of tx, and again in 3 months
In non-pregnant women, TEST of CURE is NOT
recommended, but repeat testing is recommended
3-4 months after treatment