Chlamydia

Question 1

Causative organism and what form of pathogen is it?

Answer 1

Chlamydia trachomatis and intracellular pathogen

Question 2

Incubation period?

Answer 2

1-3 weeks

Question 3

How often does it present with symptoms?

Answer 3

30% of women and 50% of men present with symptoms

Question 4

Symptoms in women?

Answer 4

Cervicitis (discharge, bleeding), dysuria

Question 5

Symptoms in men?

Answer 5

Urethral discharge, dysuria

Question 6

Potential complications?

Answer 6

• Epididymitis
• PID
• Endometritis
• Increased risk of ectopic pregnancies
• Infertility
• Reactive arthritis
• Perihepatitis

Question 7

Investigation of choice?

Answer 7

Nucleic-acid amplification test (NAAT)

Question 8

How to perform NAAT in men and women?

Answer 8

Women: vulvovaginal swab
Men: urine test

Question 9

When should chlamydia testing be carried out after a possible exposure?

Answer 9

2 weeks after a possible exposure

Question 10

Treatment?

Answer 10

Doxycycline 7 day course

Question 11

Treatment for pregnant women?

Answer 11

Azithromycin or erythromycin or amoxicillin

Question 12

Contact tracing rules for men with urethral symptoms?

Answer 12

All contacts since, and in the four weeks prior to, the onset of symptoms

Question 13

Contact tracing rules for women and asymptomatic men?

Answer 13

All partners from the last 6 months or the most recent sexual partner should be contacted

Question 14

How to manage contacts of confirmed Chlamydia cases?

Answer 14

Offer treatment prior to the results of their investigations being known (treat then test)