Chlamydia Flashcards
Is Chlamydia trachomatis a gram positive or negative bacteria?
Negative
What is the National Chlamydia Screening Programme (NCSP)?
Screen every sexually active person under 25 years of age for chlamydia annually or when they change their sexual partner
What are the 2 types of swabs involved in sexual health testing?
- Charcoal swabs
- Nucleic acid amplification test (NAAT) swabs
1) What are the 3 things Charcoal swabs allow for?
2) Name 3 infections Charcoal swabs can identify
3) Nucleic acid amplification tests check directly for what?
4) This test is used specifically for which 2 infections?
5) This test is not useful for other pelvic infections expect for what scenario?
1) Sensitivities (testing which antibiotics are effective against the bacteria), microscopy, culture
2) Bacterial vaginosis, candidiasis, gonorrhoeae, trichomonas vaginalis and other bacteria i.e. group B streptococcus
3) DNA and RNA of the organisms
4) Chlamydia and gonorrhoea
5) When specifically testing for Mycoplasma genitalium
The majority of cases of chlamydia in women are asymptomatic, but name 3 symptoms it can present with
- Abnormal vaginal discharge
- Pelvic pain
- Abnormal vaginal bleeding (intermenstrual or postcoital)
- Painful sex
- Painful urination
Name 3 symptoms chlamydia in men can present with
- Urethral discharge or discomfort
- Painful urination
- Epididymo-orchitis
- Reactive arthritis
Name 2 potential presentations on examination of chlamydia
- Pelvic or abdominal tenderness
- Cervical motion tenderness (cervical excitation)
- Inflamed cervix (cervicitis)
- Purulent discharge
What is the 1st line management for uncomplicated chlamydia?
Doxycycline 100mg twice a day for 7 days
1) When is doxycycline contraindicated?
2) If doxycycline is contraindicated, name an antibiotic that could be used instead
1) Pregnancy and breastfeeding
2) Azithromycin, erythromycin, amoxicillin
Name 5 complications of chlamydia infection
- Pelvic inflammatory disease
- Chronic pelvic pain
- Infertility
- Ectopic pregnancy
- Epididymo-orchitis
- Conjunctivitis
- Lymphogranuloma venereum
- Reactive arthritis
Name 3 complications of chlamydia in pregnancy
- Preterm delivery
- Premature rupture of membranes
- Low birth weight
- Postpartum endometritis
- Neonatal infection (conjunctivitis and pneumonia)
Lymphogranuloma Venereum
1) What is lymphogranuloma venereum?
2) In which group of people does it most commonly occur in?
3) Lymphogranuloma venereum occurs in 3 phases, what are these 3 phases, and what happens in them?
4) How is it treated?
1) Condition affecting the lymphoid tissue around the site of infection with chlamydia
2) Men that have sex with men
3) Primary (painless ulcer), secondary (swelling, inflammation and pain in the lymph nodes infected) and tertiary (inflammation of the rectum - proctitis - and anus)
4) Doxycycline
Chlamydia can infect the conjunctiva of the eye - name 2 ways this can present
- Chronic erythema
- Irritation
- Discharge
