108. Chlamydia

Question 1

How do you culture chlamydia?

Answer 1

You can’t

Question 2

What are the clinical features of chlamydia?

Answer 2

Asymptomatic

Men- anterior utherithritis, dysuria, discharge, epididymitis, proctitis

Woman- acute salipingitis, sub fertility,

Question 3

What condition is associated with chlamydia?

Answer 3

Reactive arthritis- arthritits, urethritis, conjunctivitis

Question 4

How does chlamydia affect a fetus?

Answer 4

Pneumonia, conjunctivitis

Question 5

What indicates the need for testing in men?

Answer 5

Urethral discharge, urethrirtis, epididomoorchtiis, reactive arthritis, dysuria

Question 6

What indicates the need for testing in woman

Answer 6

Vaginal discharge
Intermenstrual, posit coital or breakthrough bleeding
Inflamed cervix
Urethritis
PID
lower abdominal pain
reactive arthritis

Question 7

What groups of people are always tested

Answer 7

Termination of pregnancy
semen and egg donation
IUD insertion
Sexual partners of those with infections
Others with STi

Question 8

How do investigate?

Answer 8

Polymerase chain reaction- can be carried out in urine samples

men- first void sample of urine

woman- vaginal examination, endocervical swab or first swab

Question 9

How do you treat chlamydia

Answer 9

Azithromycin
OR
doxycycline

Question 10

How do you treat those with uncomplicated chlamydia infection in pregnancy?

Answer 10

urethromycin
OR
Amoxicillin

Question 11

What is done on follow up?

Answer 11

3 month follow up test