Chlamydia Flashcards

1
Q

What type of bacteria is Chlamydia trachomatis?

A

Chlamydia trachomatis is a gram-negative bacteria.

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2
Q

What is the most common sexually transmitted infection in the UK?

A

Chlamydia is the most common sexually transmitted infection in the UK.

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3
Q

What increases the risk of catching chlamydia?

A

Being young, sexually active, and having multiple partners increases the risk.

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4
Q

What percentage of cases are asymptomatic in men and women?

A

50% in men and 75% in women.

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5
Q

What should everyone that tests positive for chlamydia do?

A

They should have a re-test three months after treatment.

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6
Q

What are the minimum tests performed at a GUM clinic for STI screening?

A

Chlamydia, Gonorrhoea, Syphilis (blood test), HIV (blood test).

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7
Q

What are the two types of swabs used in sexual health testing?

A

Charcoal swabs and Nucleic acid amplification test (NAAT) swabs.

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8
Q

What do charcoal swabs allow for?

A

Microscopy, culture, and sensitivities.

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9
Q

What can charcoal swabs confirm?

A

Bacterial vaginosis, Candidiasis, Gonorrhoeae, Trichomonas vaginalis, and other bacteria like group B streptococcus (GBS).

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10
Q

What do NAAT tests check for?

A

They check directly for the DNA or RNA of the organism.

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11
Q

What is the order of preference for NAAT testing in women?

A

Endocervical, vulvovaginal, and then urine.

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12
Q

What are common symptoms of chlamydia in women?

A

Abnormal vaginal discharge, pelvic pain, abnormal vaginal bleeding, painful sex, and painful urination.

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13
Q

What are common symptoms of chlamydia in men?

A

Urethral discharge or discomfort, painful urination, epididymo-orchitis, and reactive arthritis.

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14
Q

What are examination findings for chlamydia?

A

Pelvic or abdominal tenderness, cervical motion tenderness, inflamed cervix, and purulent discharge.

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15
Q

What tests are used to diagnose chlamydia?

A

Nucleic acid amplification tests (NAAT) using vulvovaginal swab, endocervical swab, first-catch urine sample, urethral swab, rectal swab, or pharyngeal swab.

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16
Q

What is the first-line treatment for uncomplicated chlamydia infection?

A

Doxycycline 100mg twice a day for 7 days.

17
Q

What are alternative treatments for chlamydia in pregnant or breastfeeding women?

A

Azithromycin, Erythromycin, and Amoxicillin.

18
Q

What should be done to reduce the risk of re-infection following chlamydia treatment?

A

Abstain from sex for seven days after treatment.

19
Q

What are some complications of chlamydia infection?

A

Pelvic inflammatory disease, chronic pelvic pain, infertility, ectopic pregnancy, and reactive arthritis.

20
Q

What are pregnancy-related complications from chlamydia?

A

Preterm delivery, low birth weight, and neonatal infection.

21
Q

What is lymphogranuloma venereum (LGV)?

A

A condition affecting lymphoid tissue around the site of chlamydia infection.

22
Q

What are the stages of LGV?

A

Primary stage (painless ulcer), secondary stage (lymphadenitis), tertiary stage (proctitis and anal inflammation).

23
Q

What is the first-line treatment for LGV?

A

Doxycycline 100mg twice daily for 21 days.

24
Q

What is chlamydial conjunctivitis?

A

An infection of the conjunctiva usually resulting from genital fluid contact with the eye.

25
Q

What are the symptoms of chlamydial conjunctivitis?

A

Chronic erythema, irritation, and discharge lasting more than two weeks.