Chlamydia Flashcards
What kind of bacteria is chlamydia trachomatis?
Gram negative bacteria
What are the risk factors for chlamydia infection?
Under 25
Multiple sexual partners
New sexual partner
A partner with other partners
History of STIs
Unprotected sex
What are the two types of swabs used in sexual health testing?
Charcoal swab - from endocervical or high vaginal area
Nucleic acid amplification test
What is the purpose of a charcoal swab?
Allows for microscopy, culture and sensitivity
What is NAAT testing?
Checks for the DNA or RNA of the organism
- Only used for chlamydia and gonorrhoea
What specimens can NAAT testing be performed on?
Low vaginal swab
First catch urine - men and women
Endocervical swab
What is the presentation of chlamydia?
Abnormal vaginal discharge
Pelvic pain
Dyspareunia
Dysuria
Post coital bleeding
Intermenstrual bleeding
Penile discharge
What is the first line investigation for chlamydia?
NAAT swab
What are the differentials of chlamydia?
Gonorrhoea
Bacterial vaginosis
Thrush
Trichomonas
Mycoplasma infection
PID
What is the first line management of chlamydia?
100mg doxycycline BD for 7 days
What is the first line management of chlamydia in pregnant women?
Oral Azithromycin 1g single dose
What are the complications of chlamydia infection?
PID
Chronic pelvic pain
Infertility
Ectopic pregnancy
Epididymo-orchitis
Conjunctivitis
Reactive arthritis
Lymphogranuloma venereum
What are the pregnancy related complications of chlamydia?
Premature delivery
Premature ROM
Low birthweight
Postpartum endometritis
Neonatal conjunctivitis
Neonatal pneumonia
Chorioamnionitis
What is lymphogranuloma venereum?
A lesion affecting the lymphoid tissue around the site of infection with chlamydia
Most commonly occurs in MSM
