Chlamydia

Question 1

What is chlamydia caused by?

Answer 1

Chlamydia trachomatis

Question 2

What is the most prevalent STI in the UK?

Answer 2

Chlamydia

Question 3

How many young women in UK have Chalmydia?

Answer 3

1 in 10 young women

Question 4

What is the incubation period of chlamydia?

Answer 4

7-21 days, but it should be remembered a large percentage of cases are asymptomatic

Question 5

What sort of pathogen is Chlamydia trachomatis?

Answer 5

An obligate intracellular pathogen - so require a host cell in which to replicate

Question 6

What are 2 features of Chlamydia in women?

Answer 6

cervicitis (discharge, bleeding)

dysuria

Question 7

What are 2 features of chlamydia in men?

Answer 7

urethral discharge

dysuria

Question 8

What percentage of Chlamydia pts are asymptomatic?

Answer 8

70% women

50% men

Question 9

What are 7 potential complications of chlamydia?

Answer 9

epididymitis
pelvic inflammatory disease
endometritis
increased incidence of ectopic pregnancies
infertility
reactive arthritis
perihepatitis (Fitz-Hugh-Curtis syndrome)

Question 10

What 3 investigations are done for Chlamydia?

Answer 10

1. Traditional cell culture is no longer widely used
2. Nuclear acid amplification tests (NAATs) are now the investigation of choice
3. Urine (first void urine sample), vulvovaginal swab or cervical swab may be tested using the NAAT technique

Question 11

What is the first line investigation for chlamydia in women?

Answer 11

Vulvovaginal swab

Question 12

What is the first line investigation for chlamydia in men?

Answer 12

the urine test

Question 13

When should you test for chlamydia?

Answer 13

Chlamydia testing should be carried out two weeks after a possible exposure