Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GPEP Sexual Health > Chlamydia > Flashcards

Chlamydia Flashcards

1
Q

Chlamydia is an STI caused by __________

A

Chlamydia trachomatis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What body parts can chlamydia infect

A

Endocervix
Urethra
Rectum
Occasionally pharynx and conjunctivae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Transmission of chlamydia is by…

A

Contact with infected genital secretions
Sexual practices such as fingering which allow inoculation of infected secretions onto mucous membranes
Mother to baby at vaginal delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Chlamydia is most commonly diagnosed in which groups

A

Adolescents and young sexually active adults <30yo
Sexual contacts of people with chlamydia
Multiple sexual contacts or a new sexual contact
People who have not consistently used condoms
Māori and Pacific Peoples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Signs and symptoms of urethral chlamydia

A

~50% are asymptomatic
Dysuria
Discharge (penile urethra)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Signs and symptoms of cervical chlamydia

A

~75% are asymptomatic
Vaginal discharge
Post coital bleeding
Intermenstrual bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Signs and symptoms of anorectal chlamydia

A

Often asymptomatic
Discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Signs and symptoms of pharyngeal chlamydia

A

Usually asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Complications of chlamydia

A

Epididymitis or epididymo-orchitis

PID, subfertility, chronic pelvic pain, ectopic pregnancy

Reactive arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Indications for testing for chlamydia

A

Signs or symptoms of chlamydia
Sexual contacts of people with chlamydia or other STIs
Pregnancy
Before termination of pregnancy
Before IUD insertion in people at risk of STIs
Suspected epididymo-orchitis
Suspected PID
Sexually active patients <30yo opportunistically
MSM
History of sexual assault or intimate partner violence
If the patient requests a sexual health check

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If patient is asymptomatic and is concerned about a specific recent sexual event the recommended testing interval is _________ from time of last unprotected sexual intercourse

A

2 weeks

But if never tested/unlikely to return test now + in 2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

First line treatment if uncomplicated genital or pharyngeal chlamydia infection

A

Doxycycline BD for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

2nd line treatment if uncomplicated genital or pharyngeal chlamydia infection

A

Azithromycin 1 g orally, as a single dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When should you use 2nd line treatment for uncomplicated genital or pharyngeal chlamydia infection OR anorectal infection

A

Only if doxycycline is contraindicated, or patient is highly likely to be non-adherent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

1st line treatment for anorectal chlamydia - asymptomatic

A

Doxycycline BD 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

1st line treatment for anorectal chlamydia - symptomatic

A

Seek specialist advice as further testing and extended treatment may be required

17
Q

1st line treatment for anorectal chlamydia - asymptomatic

A

Azithromycin 1 g orally, and repeat in 1 week

18
Q

Recommended treatment in pregnancy or breastfeeding

A

Azithromycin 1 g orally, as a single dose

19
Q

F/up in chlamydia positive pregnant woman

A

Test of cure recommended 4 weeks after treatment completed

Rescreen in 3rd trimester

20
Q

Treatment recommendations if co-infection with gonorrhoea

A

Ceftriaxone IM as a single dose

PLUS

Doxycycline 100 mg BD for 7 days

21
Q

Important info to tell patients regarding sex while on treatment for chlamydia

A

Abstain from sex or use condoms for 1 week from the start of treatment and until 1 week after sexual contact/s have been treated

22
Q

Consider ____________ if rectal chlamydia is diagnosed in a male or transgender person who has anal sex with men

A

HIV pre-exposure prophylaxis (PrEP)

23
Q

Any special considerations if a patient has an IUD and is chlamydia positive?

A

Leave it in place and treat as recommended

24
Q

Main side effects doxycycline

A

Nausea, vomiting, diarrhoea
Can make skin more sensitive to the sun
Dysphagia
Oesophageal irritation - take upright (and remain for 30min) with a large glass of water

25
Q

Main side effects azithromycin

A

Nausea, vomiting, diarrhoea
Abdominal discomfort
Dizziness
Headaches

26
Q

If a person has chlamydia there is a ______% risk of transmission per act of unprotected intercourse

A

30-50%

27
Q

Contact tracing necessary?

A

Yes
All sexual contacts in the last 3 months should be notified

28
Q

Is patient-delivered partner therapy legal in NZ?

A

No

29
Q

Management of contacts if last sexual contact was within the past 2 weeks, symptomatic, or unlikely to return for treatment

A

Full sexual health check and treat for chlamydia without waiting for test results

30
Q

Management of contacts if last sexual contact was > 2 weeks previously, asymptomatic and likely to return for treatment

A

Reasonable to wait for test results, and treat only if positive

31
Q

Advice for contacts of positive cases while awaiting results/undergoing treatment

A

Abstain from sex or use condoms until results are available, and for 1 week from the start of treatment

32
Q

When should f/up occur if chlamydia positive

A

1 week

33
Q

What to discuss at 1 week f/up if chlamydia positive

A

Test results
Check symptoms (if any) have resolved
Ask if any condomless sex in the week post-treatment
Check medication was completed and tolerated
Ensure notifiable contacts have been informed
Check if any risk of re-infection. Retreatment is necessary if re-exposed to an untreated contact

34
Q

When is test of cure recommended with chlamydia

A

Pregnancy
Rectal chlamydia

35
Q

When should test of cure be done

A

≥ 4 weeks after treatment is completed

36
Q

Recommendations for re-testing post chlamydia infection

A

Re-infection is common
Retesting at 3 months is recommended, to detect re-infection

37
Q

Referral to or discussion with a sexual health specialist is recommended for…

A

Allergy or contraindication to standard treatment options
Patients with anorectal symptoms that may be STI-related
Complicated clinical situations for further management

GPEP Sexual Health (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions