Chlamydia

Question 1

What causes chlamydia?

Answer 1

Chlamydia Trachomatis

Gram -ve Bacteria

Question 2

What are the risk factors for chlamydia?

Answer 2

STI

• Young age (risk behaviour)
• Non-barrier contraception
• Recent change in sexual partner
• > 2 sexual partners a year

Question 3

What are the complications of chlamydia?

Answer 3

GENTIOURINARY
PID
Infertility (female mainly - poss male)
Urethral stricture and scarring in male

OBSTETRIC
Ectopic pregnancy
Prom
Preterm
IUGR

NEONATAL
Conjunctivitis - certain strains in Africa can cause blindness

Question 4

What are the clinical features of chlamydia?

Answer 4

Asymptomatic*
Vaginal discharge
Vague abdo pain
Postcoital bleeding

REITER’S SYNDROME

1. Conjunctivitis
2. Uveitis
3. Arthritis

Question 5

How is chlamydia investgated?

Answer 5

ENDOCERVICAL SWAB

Question 6

How is chlamydia treated?

Answer 6

MEDICAL
-1g AZITHROMYCIN

OR
-DOXYCYCLINE for 7 days

Question 7

What is the epidemiology of chlamydia?

Answer 7

Most common STI

• 10% of sexually active 15-25yr olds
• 50% chance of infection on one time exposure

Question 8

What is the screening program for chlamydia?

Answer 8

Not official screening program but free testing promoted by NHS in ‘R U Clear’

• Eligible to under 25’s
• Text (SMS) details to the service, and they send out a pack in the post
• ‘Pee in the pot’ and send it back
• Results sent out via SMS text messaging